Organization
SOUTH FLORIDA PHYSICIAN MANGMENT GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUAN A BORREGO (VP OPERATIONS)
(305) 594-2363
Entity
Organization
Contact information
Practice address
7705 NW 48TH ST STE 100, DORAL, FL 33166-5454
(305) 594-2363
(305) 597-6423
Mailing address
7705 NW 48TH ST STE 100, DORAL, FL 33166-5454
(305) 594-2363
(305) 597-6423
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
02/04/2009
Last updated
02/04/2009
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