| Massara Medical Center,llc | |
|
455 Ne 5th Ave Suite D -297 Delray Beach FL 33483-5658 | |
| (772) 233-9515 | |
| Not Available |
| Full Name | Massara Medical Center,llc |
|---|---|
| Speciality | Clinic/center |
| Location | 455 Ne 5th Ave, Delray Beach, Florida |
| Authorized Official Name and Position | Loretha King (CEO/CMO) |
| Authorized Official Contact | 7722339515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Massara Medical Center,llc 455 Ne 5th Ave Suite D -297 Delray Beach FL 33483-5658 Ph: (772) 233-9515 | Massara Medical Center,llc 455 Ne 5th Ave Suite D -297 Delray Beach FL 33483-5658 Ph: (772) 233-9515 |
| NPI Number | 1417370784 |
|---|---|
| Provider Enumeration Date | 01/22/2014 |
| Last Update Date | 01/22/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417370784 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | OS8310 (Florida) | Primary |
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