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1043890221
ATLANTIC HEALTH MSO LLC
MIAMI, FL
NPI
1043890221
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Entity Type
Organization
Authorized Contact
RENE DAVILA HASTINGS
President
305-363-2886
Organization Subpart ?
No
Primary Taxonomy
302R00000X Health Maintenance Organization
Enumeration Date
2021-04-12
Last Update Date
2021-04-12
Business Address
ATLANTIC HEALTH MSO LLC
8785 SW 165TH AVE STE 200-2014
MIAMI, FL 33193-5826
Phone number: 305-363-2886
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Mailing Address
ATLANTIC HEALTH MSO LLC
8785 SW 165TH AVE STE 200-2014
MIAMI, FL 33193-5826
Phone number: 305-363-2886
Copy
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