Organization
MLO RENAISSANCE MEDICAL CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAILYN LOPEZ OLIVERA (OWNER)
(786) 337-3708
Entity
Organization
Contact information
Practice address
103400 OVERSEAS HWY STE 240, KEY LARGO, FL 33037-2849
(786) 337-3708
Mailing address
103400 OVERSEAS HWY STE 240, KEY LARGO, FL 33037-2849
(786) 337-3708
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/10/2022
Last updated
04/10/2022
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