Organization
L & M MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHOLPON SABYROVA (MANAGER)
(954) 239-0578
Entity
Organization
Contact information
Practice address
2100 E HALLANDALE BEACH BLVD, STE 202, HALLANDALE BEACH, FL 33009-3765
(954) 239-0578
(954) 239-0582
Mailing address
2100 E HALLANDALE BEACH BLVD, STE 202, HALLANDALE BEACH, FL 33009-3765
(954) 239-0578
(954) 239-0582
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02466B
MEDICARE
—
Enumeration date
05/02/2008
Last updated
07/18/2008
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