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1336806801
MEMORIAL MEDICAL GROUP OF SOUTH FLORIDA, LLC
HOLLYWOOD, FL
NPI
1336806801
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Entity Type
Organization
Authorized Contact
LISA B MARSHALL
Medical Director
754-273-0885
Organization Subpart ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2021-11-19
Last Update Date
2021-11-19
Business Address
MEMORIAL MEDICAL GROUP OF SOUTH FLORIDA, LLC
4000 HOLLYWOOD BLVD STE 555S
HOLLYWOOD, FL 33021-6853
Phone number: 754-273-0885
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Mailing Address
MEMORIAL MEDICAL GROUP OF SOUTH FLORIDA, LLC
16000 PINES BOULEVARD #822503
PEMBROKE PINES, FL 33082-2503
Phone number: 754-273-0885
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