Organization
MASSARA MEDICAL CENTER,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORETHA KING DO (CEO/CMO)
(772) 233-9515
Entity
Organization
Contact information
Practice address
455 NE 5TH AVE, SUITE D -297, DELRAY BEACH, FL 33483-5658
(772) 233-9515
Mailing address
455 NE 5TH AVE, SUITE D -297, DELRAY BEACH, FL 33483-5658
(772) 233-9515
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
OS8310
FL
Other
Enumeration date
01/22/2014
Last updated
01/22/2014
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