# MASON HERSHORIN MSN ARNP INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Medical Practitioner Healthsystems
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710335310
- **Authorized official:** NICOLAS NIETO MA (MEDICAL ASSISTANT)
- **Authorized official phone:** (954) 432-1812

## Contact information

- **Practice address:** 4217 SW 64TH AVE, SUITE \#1, DAVIE, FL 33314-3446
- **Practice address phone:** (954) 432-1812
- **Mailing address:** 4217 SW 64TH AVE, SUITE \#1, DAVIE, FL 33314-3446
- **Mailing address phone:** (954) 432-1812

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | FL | Yes |

## Other

- **Enumeration date:** 05/25/2016
- **Last updated:** 05/25/2016