Organization
PALM SPRING CARE NETWORK MSO, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMER LOPEZ (PRESIDENT)
(305) 748-9310
Entity
Organization
Contact information
Practice address
1140 W 50TH ST, HIALEAH, FL 33012-3440
(305) 748-9310
Mailing address
1140 W 50TH ST, HIALEAH, FL 33012-3440
(305) 748-9310
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
01/29/2013
Last updated
01/29/2013
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