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1598085797
CANYON GATE MEDICAL GROUP LLC
CORAL SPRINGS, FL
NPI
1598085797
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Entity Type
Organization
Authorized Contact
RICKI MOSKOW
President
954-656-8855
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NV 12804)
Enumeration Date
2010-06-10
Last Update Date
2010-06-10
Business Address
CANYON GATE MEDICAL GROUP LLC
2929 N. UNIVERSITY DR. SUITE # 110
CORAL SPRINGS, FL 33065-5081
Phone number: 954-656-8855
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Mailing Address
CANYON GATE MEDICAL GROUP LLC
2832 E. LAKE MEAD BLVD. SUITE E
N. LAS VEGAS, NV 89030-6550
Phone number: 702-649-5155
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