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Organization
MASON HERSHORIN MSN ARNP INC.
Active
Organization
MASON HERSHORIN MSN ARNP INC.
Active
Other names
Medical Practitioner Healthsystems
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLAS NIETO MA (MEDICAL ASSISTANT)
(954) 432-1812
Entity
Organization
Contact information
Practice address
4217 SW 64TH AVE, SUITE #1, DAVIE, FL 33314-3446
(954) 432-1812
Mailing address
4217 SW 64TH AVE, SUITE #1, DAVIE, FL 33314-3446
(954) 432-1812
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
FL
Other
Enumeration date
05/25/2016
Last updated
05/25/2016
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