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1801562079
PHYSICIAN MANAGEMENT SERVICES OF LOUISIANA II, LLC
LAFAYETTE, LA
NPI
1801562079
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Entity Type
Organization
Authorized Contact
BRETT KENEFICK
President
888-829-8550
Organization Subpart ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2021-08-18
Last Update Date
2021-08-18
Business Address
PHYSICIAN MANAGEMENT SERVICES OF LOUISIANA II, LLC
202 WESTGATE RD
LAFAYETTE, LA 70506-2711
Phone number: 888-829-8550
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Mailing Address
PHYSICIAN MANAGEMENT SERVICES OF LOUISIANA II, LLC
3113 LAWTON RD STE 250
ORLANDO, FL 32803-3517
Phone number:
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