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Organization
PHYSICIAN ACCESS GROUP, LLC
Active
Organization
PHYSICIAN ACCESS GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUDOLPH MOISE D.O. (PRESIDENT/CEO)
(305) 403-2219
Entity
Organization
Contact information
Practice address
655 NW 119TH ST, NORTH MIAMI, FL 33168-2522
(305) 403-2219
(786) 517-3391
Mailing address
655 NW 119TH ST, NORTH MIAMI, FL 33168-2522
(305) 403-2219
(786) 517-3391
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
09/03/2008
Last updated
04/08/2016
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