# THE MASON GROUP, LLC

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

## Provider details

- **NPI number:** 1679960439
- **Authorized official:** MR. WESLEY E MASON III (PRESIDENT)
- **Authorized official phone:** (757) 434-1828

## Contact information

- **Practice address:** 19821 NW 2ND AVE, SUITE 396, MIAMI GARDENS, FL 33169-3341
- **Practice address phone:** (757) 434-1828
- **Mailing address:** 19821 NW 2ND AVE, SUITE 396, MIAMI GARDENS, FL 33169-3341
- **Mailing address phone:** (757) 434-1828

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/20/2015
- **Last updated:** 04/20/2015
