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Organization
MDS OF SOUTH FLORIDA PA
Active
Organization
MDS OF SOUTH FLORIDA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODY BETH MALE (PRACTICE MANAGER)
(305) 598-7715
Entity
Organization
Contact information
Practice address
9045 SW 87TH CT, MIAMI, FL 33176-2304
(305) 598-7715
(305) 598-7719
Mailing address
9045 SW 87TH CT, MIAMI, FL 33176-2304
(305) 598-7715
(305) 598-7719
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
OS8299
FL
207R00000X
Internal Medicine Physician
Primary
ME0071416
FL
207R00000X
Internal Medicine Physician
ME52945
FL
Other
Enumeration date
03/17/2006
Last updated
07/09/2008
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