# ATTESOR MSO LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851943591
- **Authorized official:** MR. THEOTIS V WILLIAMS (CEO)
- **Authorized official phone:** (954) 237-4412

## Contact information

- **Practice address:** 3350 SW 148TH AVE STE 146, MIRAMAR, FL 33027-3257
- **Practice address phone:** (954) 237-4377
- **Practice address fax:** (866) 653-1953
- **Mailing address:** 3350 SW 148TH AVE STE 146, MIRAMAR, FL 33027-3257
- **Mailing address phone:** (954) 237-4377
- **Mailing address fax:** (866) 653-1953

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 07/12/2019
- **Last updated:** 08/13/2020