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Organization
PRIORITY HEALTH CENTER CORP
Active
Organization
PRIORITY HEALTH CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YASIM MONTENEGRO (CREDENTIALING SPECIALIST)
(954) 934-7053
Entity
Organization
Contact information
Practice address
4800 NE 20TH TER STE 211D, FORT LAUDERDALE, FL 33308-4510
(954) 438-4015
Mailing address
4800 NE 20TH TER STE 211D, FORT LAUDERDALE, FL 33308-4510
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/12/2020
Last updated
05/12/2020
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