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1114304144
MED-SOURCE GROUP LLC.
MIAMI LAKES, FL
NPI
1114304144
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Entity Type
Organization
Authorized Contact
OTTO J VALDES
CEO
786-443-0873
Organization Subpart ?
No
Primary Taxonomy
305S00000X Point of Service
Enumeration Date
2015-04-28
Last Update Date
2015-04-28
Business Address
MED-SOURCE GROUP LLC.
15476 NW 77TH CT
MIAMI LAKES, FL 33016-5823
Phone number: 786-443-0873
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Mailing Address
MED-SOURCE GROUP LLC.
15476 NW 77TH CT
MIAMI LAKES, FL 33016-5823
Phone number: 786-443-0873
Copy
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