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Organization
PCP OF PEMBROKE PINES
Active
Organization
PCP OF PEMBROKE PINES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER ANZALONE (DIRECTOR)
(954) 318-6590
Entity
Organization
Contact information
Practice address
1 SW 129TH AVE, SUITE 109, PEMBROKE PINES, FL 33027-1761
(954) 433-4200
Mailing address
1 SW 129TH AVE, SUITE 109, PEMBROKE PINES, FL 33027-1761
(954) 433-4200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/05/2007
Last updated
04/20/2008
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