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Organization

BSMS PEMBROKE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TULIO BARBOSA RIBEIRO (MANAGER)
(415) 654-2268
Entity
Organization

Contact information

Practice address
12592 PINES BLVD, PEMBROKE PINES, FL 33027-1760
(415) 654-2268
Mailing address
12592 PINES BLVD, PEMBROKE PINES, FL 33027-1760
(415) 654-2268

Taxonomy

Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary

Other

Enumeration date
04/01/2020
Last updated
04/01/2020
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