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Organization
THE MEDICAL GROUP OF SOUTH FLORIDA INC
Active
Organization
THE MEDICAL GROUP OF SOUTH FLORIDA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA SMITH DC (OWNER)
(561) 622-6111
Entity
Organization
Contact information
Practice address
1094 MILITARY TRL, JUPITER, FL 33458-7021
(561) 622-6111
(561) 622-1176
Mailing address
1094 MILITARY TRL DEPT 4101, JUPITER, FL 33458-7021
(561) 622-6111
(561) 246-3721
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000S2
BLUE SHIELD OF FLORIDA
FL
05
—
002251800
—
FL
01
—
99567
BCBS
FL
Enumeration date
10/27/2010
Last updated
09/04/2018
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