Organization
MG MEDICAL FACILITY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIA DE JESUS RODRIGUEZ (OFFICE MANAGER)
(954) 432-8856
Entity
Organization
Contact information
Practice address
1821 NW 123RD AVE, PEMBROKE PINES, FL 33026-3825
(954) 432-8856
(954) 432-8955
Mailing address
1821 NW 123RD AVE, PEMBROKE PINES, FL 33026-3825
(954) 432-8856
(954) 432-8955
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
HCC6432
FL
Other
Enumeration date
02/25/2013
Last updated
02/25/2013
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