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Organization

RYLEY GROUP INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JIMMY NELSON OTERO SA-C (DIRECTOR)
(954) 534-4855
Entity
Organization

Contact information

Practice address
5079 SW 103RD AVE, COOPER CITY, FL 33328-4900
(954) 639-6635
(954) 252-4073
Mailing address
5079 SW 103RD AVE, COOPER CITY, FL 33328-4900
(954) 639-6635
(954) 252-4073

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
15-345
CO

Other

Enumeration date
07/30/2015
Last updated
07/30/2015
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