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Organization
MEMORIAL MEDICAL GROUP OF SOUTH FLORIDA, LLC
Active
Organization
MEMORIAL MEDICAL GROUP OF SOUTH FLORIDA, LLC
Active
Other names
Memorial Mental Health Of South Florida
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA B MARSHALL DMSC, PAC (MEDICAL DIRECTOR)
(754) 273-0885
Entity
Organization
Contact information
Practice address
4000 HOLLYWOOD BLVD STE 555S, HOLLYWOOD, FL 33021-6853
(754) 273-0885
(833) 955-3596
Mailing address
16000 PINES BOULEVARD, #822503, PEMBROKE PINES, FL 33082-2503
(754) 273-0885
(754) 240-7841
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/19/2021
Last updated
11/19/2021
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