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Organization
INSTITUTE FOR COLLEGIATE SPORTS MEDICINE
Active
Organization
INSTITUTE FOR COLLEGIATE SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN ANDERSON (PRESIDENT)
(954) 204-5428
Entity
Organization
Contact information
Practice address
3511 SAHARA SPRINGS BLVD, POMPANO BEACH, FL 33069-6101
(954) 204-5428
Mailing address
PO BOX 669582, POMPANO BEACH, FL 33066-9582
(954) 204-5428
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/15/2013
Last updated
01/15/2013
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