# NULA MEDICAL MANAGEMENT II, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114621265
- **Authorized official:** JEREMY GUTERSOHN-MCCOY (CFO)
- **Authorized official phone:** (305) 345-7350

## Contact information

- **Practice address:** 4090 W WHITEWATER AVE, WESTON, FL 33332-2403
- **Practice address phone:** (954) 696-6232
- **Mailing address:** 4090 W WHITEWATER AVE, WESTON, FL 33332-2403
- **Mailing address phone:** (954) 696-6232

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/30/2023
- **Last updated:** 03/30/2023