Organization
CLAREMEDICA MSO, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK LORIN MULLINIX (CEO)
(786) 758-3135
Entity
Organization
Contact information
Practice address
14750 NW 77TH CT STE 100, MIAMI LAKES, FL 33016-1507
(786) 485-1005
(786) 441-2156
Mailing address
14750 NW 77TH CT STE 100, MIAMI LAKES, FL 33016-1507
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
11/05/2016
Last updated
05/01/2023
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