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1912358169
DHGMSO
PLANTATION, FL
NPI
1912358169
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Entity Type
Organization
Authorized Contact
JORGE LUIS BASTO
Vice President
954-816-3007
Organization Subpart ?
No
Primary Taxonomy
261QP2300X Clinic/Center, Primary Care
Enumeration Date
2016-06-29
Last Update Date
2016-06-29
Business Address
DHGMSO
201 NW 70TH AVE SUITE D
PLANTATION, FL 33317-2369
Phone number: 954-816-3007
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Mailing Address
DHGMSO
201 NW 70TH AVE SUITE D
PLANTATION, FL 33317-2369
Phone number: 954-816-3007
Copy
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