| 53rd Street Medical Group, Llc | |
|
2331 Ne 53rd St Ft Lauderdale FL 33308-3235 | |
| (954) 491-9700 | |
| Not Available |
| Full Name | 53rd Street Medical Group, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Addiction Medicine |
| Location | 2331 Ne 53rd St, Ft Lauderdale, Florida |
| Authorized Official Name and Position | Karen Barlow (PRESIDENT, JUPITER PROFESSIONAL DEV) |
| Authorized Official Contact | 5617482889 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 53rd Street Medical Group, Llc Po Box 7240 Jupiter FL 33468-7240 Ph: (561) 748-2889 | 53rd Street Medical Group, Llc 2331 Ne 53rd St Ft Lauderdale FL 33308-3235 Ph: (954) 491-9700 |
| NPI Number | 1962767202 |
|---|---|
| Provider Enumeration Date | 07/12/2012 |
| Last Update Date | 08/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962767202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | ME83014 (Florida) | Primary |
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