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1154807352
PREMIERMD IPA HEALTHCARE, LLC
FT LAUDERDALE, FL
NPI
1154807352
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Entity Type
Organization
Authorized Contact
VICTOR TOLEDANO
President
954-561-5135
Organization Subpart ?
No
Primary Taxonomy
302F00000X Exclusive Provider Organization
Enumeration Date
2018-07-11
Last Update Date
2018-07-11
Business Address
PREMIERMD IPA HEALTHCARE, LLC
3465 GALT OCEAN DR STE 204
FT LAUDERDALE, FL 33308-7077
Phone number: 954-561-5135
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Mailing Address
PREMIERMD IPA HEALTHCARE, LLC
3465 GALT OCEAN DR STE 204
FT LAUDERDALE, FL 33308-7077
Phone number: 954-561-5135
Copy
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