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Organization
5630 LLC
Active
Organization
5630 LLC
Active
Other names
Sam Judah Sugar MD
Organization subpart
No
Provider details
NPI number
Authorized official
SAM JUDAH SUGAR MD (OWNER)
(847) 571-4323
Entity
Organization
Contact information
Practice address
5630 OAKTREE AVE, FORT LAUDERDALE, FL 33312-6375
(847) 571-4323
Mailing address
5630 OAKTREE AVE, FORT LAUDERDALE, FL 33312-6375
(847) 571-4323
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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