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Organization
4TH TRIMESTER PLACE
Active
Organization
4TH TRIMESTER PLACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALECIA BRYAN (DIRECTOR)
(917) 328-6220
Entity
Organization
Contact information
Practice address
3350 SW 148TH AVE STE 110, MIRAMAR, FL 33027-3237
(833) 437-3484
Mailing address
14359 MIRAMAR PKWY # 139, MIRAMAR, FL 33027-4134
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/15/2022
Last updated
11/15/2022
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