Organization Name: | VML GROUP SERVICES INC |
NPI Number: | 1124400775 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VICTOR M RODRIGUEZ (OWNER) |
Mailing Address: | 6555 Nw 36th St Suite 213 Virginia Gardens |
State: | FL US |
Postal Code: | 331666978 |
Phone Number: | 3057493672 |
Fax Number: | 3057493673 |
NPI Enumeration Date: | 06/19/2015 |
NPI Last Update Date: | 06/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0100X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Health Service |
Taxonomy Definition: |