Organization
MEDICAL SERVICE GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS SMITH (CEO)
(561) 337-7976
Entity
Organization
Contact information
Practice address
11576 PIERSON RD STE K6, WELLINGTON, FL 33414-8765
(561) 337-7976
Mailing address
6801 LAKE WORTH RD STE 350, GREENACRES, FL 33467-2974
(561) 337-7976
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
56081347114901
FL
Other
Enumeration date
04/03/2018
Last updated
04/03/2018
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