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Organization
MEDAMAX MSO, LLC
Active
Organization
MEDAMAX MSO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN DORNE (PRESIDENT)
(305) 733-3577
Entity
Organization
Contact information
Practice address
12555 BISCAYNE BLVD, SUITE 480, NORTH MIAMI, FL 33181-2522
(305) 733-3577
(305) 933-1021
Mailing address
12555 BISCAYNE BLVD, SUITE 480, NORTH MIAMI, FL 33181-2522
(305) 733-3577
(305) 933-1021
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
08/19/2013
Last updated
08/19/2013
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