Broward Multispecialty Group Llc | |
160 Nw 170th St North Miami Beach FL 33169-5521 | |
(954) 616-3627 | |
(954) 414-8453 |
Full Name | Broward Multispecialty Group Llc |
---|---|
Speciality | Neurological Surgery |
Location | 160 Nw 170th St, North Miami Beach, Florida |
Authorized Official Name and Position | Gabrielle Finley-hazle (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 9546163627 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Broward Multispecialty Group Llc 401 E Las Olas Blvd Suite 130-137 Fort Lauderdale FL 33301-2210 Ph: (954) 616-3627 | Broward Multispecialty Group Llc 160 Nw 170th St North Miami Beach FL 33169-5521 Ph: (954) 616-3627 |
NPI Number | 1730403122 |
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Provider Enumeration Date | 03/15/2010 |
Last Update Date | 03/15/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730403122 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
207T00000X | Neurological Surgery | (* (Not Available)) | Primary |
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