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1851943591
ATTESOR MSO LLC
MIRAMAR, FL
NPI
1851943591
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Entity Type
Organization
Authorized Contact
THEOTIS V WILLIAMS
CEO
954-237-4412
Organization Subpart ?
No
Primary Taxonomy
302F00000X Exclusive Provider Organization
Enumeration Date
2019-07-12
Last Update Date
2020-08-13
Business Address
ATTESOR MSO LLC
3350 SW 148TH AVE STE 146
MIRAMAR, FL 33027-3257
Phone number: 954-237-4377
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Mailing Address
ATTESOR MSO LLC
3350 SW 148TH AVE STE 146
MIRAMAR, FL 33027-3257
Phone number: 954-237-4377
Copy
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