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Organization

RR MEDCO LLC

Active
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Organization

RR MEDCO LLC

Active
Other names
Health Source Wellness Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RAYMOND DI IULIO (MANAGING MEMBER)
(754) 264-7540
Entity
Organization

Contact information

Practice address
100 E SAMPLE RD, SUITE 320, POMPANO BEACH, FL 33064-3554
(754) 264-7540
(754) 222-9389
Mailing address
100 E SAMPLE RD, SUITE 320, POMPANO BEACH, FL 33064-3554
(754) 264-7540
(754) 222-9389

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—

Other

Enumeration date
09/03/2015
Last updated
07/24/2017
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