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Organization
PRIMARY HEALTH PHYSICIANS GROUP, LLC
Active
Organization
PRIMARY HEALTH PHYSICIANS GROUP, LLC
Active
Other names
PHPG
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GUY RUDOLPH MOISE D.O. (PRESIDENT AND CEO)
(305) 403-2219
Entity
Organization
Contact information
Practice address
655 NW 119TH ST, NORTH MIAMI, FL 33168-2522
(305) 403-2219
(786) 517-3620
Mailing address
655 NW 119TH ST, NORTH MIAMI, FL 33168-2522
(305) 403-2219
(786) 517-3620
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
NULL
Other
Enumeration date
08/20/2014
Last updated
08/20/2014
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