# PHYSICIANS MSO INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1669888624
- **Authorized official:** MR. EVALDO FRED DUPUY (PRESIDENT)
- **Authorized official phone:** (786) 417-6668

## Contact information

- **Practice address:** 2063 SW 195TH AVE, MIRAMAR, FL 33029-5920
- **Practice address phone:** (786) 417-6668
- **Mailing address:** 2063 SW 195TH AVE, MIRAMAR, FL 33029-5920
- **Mailing address phone:** (786) 417-6668

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |

## Other

- **Enumeration date:** 07/10/2014
- **Last updated:** 07/10/2014