# TENET FLORIDA PHYSICIAN SERVICES, LLC

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

## Provider details

- **NPI number:** 1205160298
- **Authorized official:** MR. J. SCOTT RICHARDSON (SVP, OPS FINANCE & PMI, TENET)
- **Authorized official phone:** (469) 893-6960

## Contact information

- **Practice address:** 6175 NW 153RD ST, STE 308-312, HIALEAH, FL 33014-2435
- **Practice address phone:** (305) 512-1414
- **Mailing address:** 5810 CORAL RIDGE DR, STE 300, CORAL SPRINGS, FL 33076-3374
- **Mailing address phone:** (954) 509-3650
- **Mailing address fax:** (954) 796-7268

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/24/2009
- **Last updated:** 09/24/2009