Organization
MGH MEDICAL GROUP OH LLC
Active
Other names
MGH MEDICAL GROUP OH LLC, MGH MEDICAL GROUP OH LLC
Organization subpart
No
Provider details
NPI number
Authorized official
GEMINISA SOLORZANO (CRCO-REVENUE CYCLE 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
103TP2701X
Group Psychotherapy Psychologist
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
04/03/2024
Last updated
08/16/2024
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