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Organization
THE MASON GROUP, LLC
Active
Organization
THE MASON GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WESLEY E MASON III (PRESIDENT)
(757) 434-1828
Entity
Organization
Contact information
Practice address
19821 NW 2ND AVE, SUITE 396, MIAMI GARDENS, FL 33169-3341
(757) 434-1828
Mailing address
19821 NW 2ND AVE, SUITE 396, MIAMI GARDENS, FL 33169-3341
(757) 434-1828
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QM2500X
Medical Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/20/2015
Last updated
04/20/2015
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