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1053987230
BTC CLINIC 1, LLC
AVENTURA, FL
NPI
1053987230
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Entity Type
Organization
Authorized Contact
CONNIE DECKER
Credentialing Manager
480-269-2971
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2021-05-28
Last Update Date
2021-05-28
Business Address
BTC CLINIC 1, LLC
20880 W DIXIE HWY STE 105
AVENTURA, FL 33180-1151
Phone number: 786-657-3941
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Mailing Address
BTC CLINIC 1, LLC
70 S VAL VISTA DR STE A3-659
GILBERT, AZ 85296-1374
Phone number: 480-269-2971
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