MEMORIAL MEDICAL GROUP OF SOUTH FLORIDA, LLC

HOLLYWOOD, FL
NPI1336806801
Doing Business AsMEMORIAL MENTAL HEALTH OF SOUTH FLORIDA
Entity TypeOrganization
Authorized ContactLISA B MARSHALL
Medical Director
754-273-0885
Organization Subpart ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2021-11-19
Last Update Date2021-11-19
Business Address
MEMORIAL MEDICAL GROUP OF SOUTH FLORIDA, LLC
4000 HOLLYWOOD BLVD STE 555S
HOLLYWOOD, FL 33021-6853
Phone number: 754-273-0885
Mailing Address
MEMORIAL MEDICAL GROUP OF SOUTH FLORIDA, LLC
16000 PINES BOULEVARD #822503
PEMBROKE PINES, FL 33082-2503
Phone number: 754-273-0885