# POWER MD MSO LLC

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

## Provider details

- **NPI number:** 1548728397
- **Authorized official:** OSVALDO S MARTINEZ ADMINISTRATOR (CEO)
- **Authorized official phone:** (954) 918-4533

## Contact information

- **Practice address:** 4000 N 37TH AVE, HOLLYWOOD, FL 33021-1927
- **Practice address phone:** (954) 918-4533
- **Mailing address:** 4000 N 37TH AVE, HOLLYWOOD, FL 33021-1927
- **Mailing address phone:** (954) 918-4533

## Taxonomy

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

## Other

- **Enumeration date:** 03/11/2019
- **Last updated:** 03/11/2019