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Organization
VANGUARD MEDICAL GROUP LLC
Active
Organization
VANGUARD MEDICAL GROUP LLC
Active
Other names
Broward Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIAN A HASAN MD,FACCC,FACP,FSCAI (PRESIDENT/CEO)
(954) 436-6660
Entity
Organization
Contact information
Practice address
1330 RIVERLAND RD, FORT LAUDERDALE, FL 33312-2961
(954) 321-9826
(954) 321-9660
Mailing address
1330 RIVERLAND RD, FORT LAUDERDALE, FL 33312-2961
(954) 321-9826
(954) 321-9660
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/25/2011
Last updated
01/25/2011
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