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1194327379
HEALTHY SENIOR MEDICAL GROUP LLC
FORT LAUDERDALE, FL
NPI
1194327379
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Entity Type
Organization
Authorized Contact
CHRISTOPHER J PETTAS
CEO
561-702-1299
Organization Subpart ?
No
Primary Taxonomy
208D00000X General Practice
Enumeration Date
2020-11-12
Last Update Date
2020-11-12
Business Address
HEALTHY SENIOR MEDICAL GROUP LLC
515 E LAS OLAS BLVD STE 120
FORT LAUDERDALE, FL 33301-4261
Phone number: 954-787-8874
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Mailing Address
HEALTHY SENIOR MEDICAL GROUP LLC
2199 NE 5TH AVE
BOCA RATON, FL 33431-7610
Phone number: 561-702-1299
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