DHGMSO

PLANTATION, FL
NPI1912358169
Entity TypeOrganization
Authorized ContactJORGE LUIS BASTO
Vice President
954-816-3007
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
Enumeration Date2016-06-29
Last Update Date2016-06-29
Business Address
DHGMSO
201 NW 70TH AVE SUITE D
PLANTATION, FL 33317-2369
Phone number: 954-816-3007
Mailing Address
DHGMSO
201 NW 70TH AVE SUITE D
PLANTATION, FL 33317-2369
Phone number: 954-816-3007