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Organization
53RD STREET MEDICAL GROUP, LLC
Active
Organization
53RD STREET MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN BARLOW (PRESIDENT, JUPITER PROFESSIONAL DEV)
(561) 748-2889
Entity
Organization
Contact information
Practice address
2331 NE 53RD ST, FT LAUDERDALE, FL 33308-3235
(954) 491-9700
Mailing address
PO BOX 7240, JUPITER, FL 33468-7240
(561) 748-2889
(561) 748-1523
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
ME83014
FL
Other
Enumeration date
07/12/2012
Last updated
08/01/2012
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