Boston Medical Group, INC.
Urology in Coral Gables, FL. Organization (NPI-2).
NPI number1255759965
StatusActive
Last updated in NPPESMar 31, 2014
Details
- NPI
- 1255759965
- Entity type
- Organization (NPI-2)
- Legal business name
- Boston Medical Group, INC.
- Organization subpart
- No
- Enumeration date
- Mar 31, 2014
- Last updated
- Mar 31, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208800000X | Urology | – | – | Yes |
Practice location
999 Ponce De Leon Blvd.Suite 740
Coral Gables, FL 33134
Phone 305-448-5515 · Fax 305-448-5131
Mailing address
999 Ponce De Leon Blvd.Suite 740
Coral Gables, FL 33134
Phone 305-448-5515 · Fax 305-448-5131
Authorized official
Quoc H. Ha
Director
9497358451
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