Organization Name: | ACCESS MEDICAL GROUP OF FLORIDA CITY, INC. |
NPI Number: | 1205118874 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LUIS H. IZQUIERDO (CEO & PRESIDENT) |
Mailing Address: | 751 W Palm Dr Florida City |
State: | FL US |
Postal Code: | 330343223 |
Phone Number: | 7863770120 |
Fax Number: | 7863770121 |
NPI Enumeration Date: | 09/09/2011 |
NPI Last Update Date: | 05/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |