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Organization
PHYSICIANS CONSORTIUM GROUP LLC
Active
Organization
PHYSICIANS CONSORTIUM GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM STEELE (CEO)
(561) 385-0731
Entity
Organization
Contact information
Practice address
1732 S CONGRESS AVE STE 346, PALM SPRINGS, FL 33461-2140
(561) 385-0731
Mailing address
1732 S CONGRESS AVE STE 346, PALM SPRINGS, FL 33461-2140
(561) 385-0731
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11111
SIMPLY
FL
Enumeration date
10/12/2016
Last updated
10/12/2016
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