Organization
NULA MEDICAL MANAGEMENT II, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY GUTERSOHN-MCCOY (CFO)
(305) 345-7350
Entity
Organization
Contact information
Practice address
4090 W WHITEWATER AVE, WESTON, FL 33332-2403
(954) 696-6232
Mailing address
4090 W WHITEWATER AVE, WESTON, FL 33332-2403
(954) 696-6232
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/30/2023
Last updated
03/30/2023
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