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Organization
WEST BROWARD IPA, L.L.C
Active
Organization
WEST BROWARD IPA, L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA QUINN (CREDENTIALING MANAGER)
(954) 457-8771
Entity
Organization
Contact information
Practice address
1117 E HALLANDALE BEACH BLVD, HALLANDALE BEACH, FL 33009-4488
(954) 457-8771
(954) 241-6908
Mailing address
1117 E HALLANDALE BEACH BLVD, HALLANDALE BEACH, FL 33009-4488
(954) 457-8771
(954) 241-6908
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
04/16/2013
Last updated
04/16/2013
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