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Organization
LAS OLAS MEDICAL MANAGEMENT PA
Active
Organization
LAS OLAS MEDICAL MANAGEMENT PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN TAR (CEO)
(305) 496-5998
Entity
Organization
Contact information
Practice address
508 SW 10TH ST, FORT LAUDERDALE, FL 33315-1218
(305) 496-5998
Mailing address
508 SW 10TH ST, FORT LAUDERDALE, FL 33315-1218
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/04/2025
Last updated
02/04/2025
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