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Organization

MDO MEDICAL CENTERS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GEORGE I ELSO (AUTHORIZED PERSONNEL)
(305) 766-0552
Entity
Organization

Contact information

Practice address
14474 COMMERCE WAY, MIAMI LAKES, FL 33016-1508
(305) 766-0552
Mailing address
14474 COMMERCE WAY, MIAMI LAKES, FL 33016-1508
(305) 766-0552

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
208D00000X
General Practice Physician
Primary
363L00000X
Nurse Practitioner
363LF0000X
Family Nurse Practitioner

Other

Enumeration date
04/27/2026
Last updated
04/27/2026
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