| M C Lacayo Md Pa | |
|
6623 Nw 23rd Ter Boca Raton FL 33496-3634 | |
| (561) 338-8320 | |
| Not Available |
| Full Name | M C Lacayo Md Pa |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 6623 Nw 23rd Ter, Boca Raton, Florida |
| Authorized Official Name and Position | Martha Cecilia Lacayo (PRESIDENT) |
| Authorized Official Contact | 5613388320 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| M C Lacayo Md Pa 6623 Nw 23rd Ter Boca Raton FL 33496-3634 Ph: (561) 338-8320 | M C Lacayo Md Pa 6623 Nw 23rd Ter Boca Raton FL 33496-3634 Ph: (561) 338-8320 |
| NPI Number | 1134300031 |
|---|---|
| Provider Enumeration Date | 11/19/2007 |
| Last Update Date | 11/19/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134300031 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | ME47330 (Florida) | Primary |
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