Med-Source Group Llc.
NPI #1114304144 in Miami Lakes, Florida
Provider Information
- NPI Number
- 1114304144
- Entity Type
- Organization
- Organization Name
- Med-Source Group Llc.
- Primary Specialty
- Point of Service
- Enumeration Date
- Apr 28, 2015
- Last Updated
- Apr 28, 2015
Practice Location
- Address
- 15476 NW 77TH CT
- City
- Miami Lakes
- State
- Florida
- ZIP Code
- 33016-5823
- Phone
- (786) 443-0873
Authorized Official
- Name
- OTTO J VALDES
- Title
- CEO
- Phone
- (786) 443-0873
Specialties & Taxonomy Codes
| Specialty |
|---|
| Point of Service |
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