Organization
RMA MSO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY P DUDLEY (PRESIDENT)
(954) 318-6590
Entity
Organization
Contact information
Practice address
7800 W OAKLAND PARK BLVD STE E-214, SUNRISE, FL 33351-6741
(954) 318-6590
Mailing address
7800 W OAKLAND PARK BLVD STE E-214, SUNRISE, FL 33351-6741
(954) 318-6590
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
03/28/2007
Last updated
08/22/2020
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