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1891012472
PHYSICIAN SERVICE ORGANIZATION
MIAMI, FL
NPI
1891012472
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Entity Type
Organization
Authorized Contact
JOEL LAGO
President
305-263-1090
Organization Subpart ?
No
Primary Taxonomy
302F00000X Exclusive Provider Organization
Enumeration Date
2010-04-22
Last Update Date
2010-04-22
Business Address
PHYSICIAN SERVICE ORGANIZATION
9425 SW 72ND ST SUITE 211
MIAMI, FL 33173-3251
Phone number: 305-263-1090
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Mailing Address
PHYSICIAN SERVICE ORGANIZATION
9425 SW 72NS STREET SUITE 211
MIAMI, FL 33173
Phone number: 305-263-1090
Copy
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