Organization
MGH MEDICAL GROUP TX, PLLC
Active
Other names
MGH Medical Group TX, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
GEMINISA M SOLORZANO (CRCO - RCM DIRECTOR)
(954) 667-5465
Entity
Organization
Contact information
Practice address
515 S FEDERAL HWY, DEERFIELD BEACH, FL 33441-4109
(954) 667-5465
(412) 451-8656
Mailing address
530 S FEDERAL HWY, DEERFIELD BEACH, FL 33441-4140
(954) 667-5465
(412) 451-8656
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC1900X
Counseling Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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