# ASSOCIATESMD MEDICAL GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ASSOCIATESMD MEDICAL GROUP INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1073141156
- **Legal business name:** ASSOCIATESMD MEDICAL GROUP INC
- **Authorized official:** LUIS FELIPE LAFRATTA (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (954) 434-1705

## Contact information

- **Practice address:** 2004 N FLAMINGO RD, PEMBROKE PINES, FL 33028-3500
- **Practice address phone:** (954) 450-8500
- **Practice address fax:** (954) 450-8502
- **Mailing address:** 4780 SW 64TH AVE STE 103, DAVIE, FL 33314-4400
- **Mailing address phone:** (954) 434-1705
- **Mailing address fax:** (800) 642-2398

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/01/2020
- **Last updated:** 04/01/2020