Organization
G & I MEDICAL RESEARCHLLC.
Active
Other names
Med Lake Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAYRA LOURDES ZENO MD (MEDICAL DIRECTOR)
(786) 332-4991
Entity
Organization
Contact information
Practice address
16371 NW 67TH AVE, MIAMI LAKES, FL 33014-6044
(786) 332-4991
(786) 409-2037
Mailing address
16371 NW 67 AVE, MIAMI LAKES, FL 33014
(786) 332-4991
(786) 409-2037
Taxonomy
Speciality
Code
Description
License number
State
174V00000X
Clinical Ethicist
Primary
ME62905
FL
Other
Enumeration date
08/19/2014
Last updated
11/17/2014
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