# CLAREMEDICA MSO, LLC.

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

## Provider details

- **NPI number:** 1386186567
- **Authorized official:** MARK LORIN MULLINIX (CEO)
- **Authorized official phone:** (786) 758-3135

## Contact information

- **Practice address:** 14750 NW 77TH CT STE 100, MIAMI LAKES, FL 33016-1507
- **Practice address phone:** (786) 485-1005
- **Practice address fax:** (786) 441-2156
- **Mailing address:** 14750 NW 77TH CT STE 100, MIAMI LAKES, FL 33016-1507

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 11/05/2016
- **Last updated:** 05/01/2023