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1861988016
VICIOSO MEDICAL AND ADDICTION SERVICES LLC
HOLLYWOOD, FL
NPI
1861988016
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Entity Type
Organization
Authorized Contact
LUIS E VICIOSO
Mgr
646-808-5915
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2018-07-10
Last Update Date
2018-07-10
Business Address
VICIOSO MEDICAL AND ADDICTION SERVICES LLC
7261 SHERIDAN ST STE 100D
HOLLYWOOD, FL 33024-2708
Phone number: 954-534-7696
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Mailing Address
VICIOSO MEDICAL AND ADDICTION SERVICES LLC
5729 LIVE OAK TER
FORT LAUDERDALE, FL 33312-6377
Phone number: 646-808-5915
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