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1912279225
NOSTRUM MEDICAL GROUP MSO LLC
HOMESTEAD, FL
NPI
1912279225
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Entity Type
Organization
Authorized Contact
LAZARO MOREIRA
Mgrm
305-242-9952
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2012-02-01
Last Update Date
2012-02-01
Business Address
NOSTRUM MEDICAL GROUP MSO LLC
1235 N KROME AVE R
HOMESTEAD, FL 33030-4204
Phone number: 305-242-9952
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Mailing Address
NOSTRUM MEDICAL GROUP MSO LLC
1235 N KROME AVE R
HOMESTEAD, FL 33030-4204
Phone number: 305-242-9952
Copy
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