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General NPI Number Information
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NPI Number | 1780248153
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Entity Type | Organization
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Legal Business Name | LOCAL MD, INC
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Dates
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Enumeration Date | 04/30/2019
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Last Update Date | 04/30/2019
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Provider Practice Location Address
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Address Line | 1450 NW 87TH AVE STE 206
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City | DORAL
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State | FL
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Zip | 33172-3009
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Country | US
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Telephone | 305-900-8103
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Fax |
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Provider Business Mailing Address
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Address Line | 4581 WESTON RD STE 157
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City | WESTON
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State | FL
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Zip | 33331-3141
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Country | US
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Telephone | 305-900-8103
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Fax | 786-250-1970
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ERNESTO V TORRES
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Credential | MD
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Telephone | 305-900-8103
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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