POWER MD MSO LLC

HOLLYWOOD, FL
NPI1548728397
Entity TypeOrganization
Authorized ContactOSVALDO S MARTINEZ
CEO
954-918-4533
Organization Subpart ?No
Primary Taxonomy302F00000X Exclusive Provider Organization
Enumeration Date2019-03-11
Last Update Date2019-03-11
Business Address
POWER MD MSO LLC
4000 N 37TH AVE
HOLLYWOOD, FL 33021-1927
Phone number: 954-918-4533
Mailing Address
POWER MD MSO LLC
4000 N 37TH AVE
HOLLYWOOD, FL 33021-1927
Phone number: 954-918-4533