Organization
MEDSTATION PRIMARY CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VITOR LIMA (OWNER-MANAGER)
(954) 304-0368
Entity
Organization
Contact information
Practice address
1362 WESTON RD, WESTON, FL 33326
(954) 368-1302
(954) 656-3219
Mailing address
1362 WESTON RD, WESTON, FL 33326
(954) 368-1302
(954) 656-3219
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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