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Organization
MUDASIRU A CAREW DO PA
Active
Organization
MUDASIRU A CAREW DO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUDASIRU ADEGBOLA CAREW (OWNER)
(954) 987-6276
Entity
Organization
Contact information
Practice address
12600 PEMBROKE RD, STE 204, MIRAMAR, FL 33027-2544
(954) 987-6276
(954) 430-5800
Mailing address
12600 PEMBROKE ROAD, STE 204, MIRAMAR, FL 33027
(954) 987-6276
(954) 430-5800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006WC
BLUE CROSS AND BLUE SHIELD
FL
Enumeration date
03/26/2008
Last updated
01/07/2015
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