Organization
FOREST PARK PROFESSIONAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCE MONTELIONE (MANAGER)
(954) 608-3737
Entity
Organization
Contact information
Practice address
541 FOREST PKWY, FOREST PARK, GA 30297-6144
(954) 608-3737
Mailing address
541 FOREST PKWY, FOREST PARK, GA 30297-6144
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/19/2012
Last updated
07/19/2012
About Stedi
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