Mgm Medical Group Management LLC

NPI #1265866693 in Cutler Bay, Florida

Provider Information

NPI Number
1265866693
Entity Type
Organization
Organization Name
Mgm Medical Group Management LLC
Primary Specialty
Exclusive Provider Organization
Enumeration Date
Aug 21, 2013
Last Updated
Aug 21, 2013

Practice Location

Address
8318 SW 193RD ST
State
Florida
ZIP Code
33157-8085
Phone
(786) 395-1165

Authorized Official

Name
MR. MARIO ARMANDO ESPINO JR.
Title
CEO/PRESIDENT
Phone
(786) 395-1165

Specialties & Taxonomy Codes

Specialty
Exclusive Provider Organization

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