| Atlantic South Medical Group Incorporated | |
|
2925 Aventura Blvd Suite 101 Aventura FL 33180-3124 | |
| (305) 931-7424 | |
| (305) 931-7425 |
| Full Name | Atlantic South Medical Group Incorporated |
|---|---|
| Speciality | Clinic/center |
| Location | 2925 Aventura Blvd, Aventura, Florida |
| Authorized Official Name and Position | Volrick Morrison (PHYSICIAN) |
| Authorized Official Contact | 3059317424 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlantic South Medical Group Incorporated Po Box 909 Hallandale FL 33008-0909 Ph: (305) 931-7424 | Atlantic South Medical Group Incorporated 2925 Aventura Blvd Suite 101 Aventura FL 33180-3124 Ph: (305) 931-7424 |
| NPI Number | 1114275427 |
|---|---|
| Provider Enumeration Date | 08/16/2012 |
| Last Update Date | 03/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114275427 | NPI | - | NPPES |
| 007960400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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