Organization
PRACTITIONER MEDICAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE MICHELLE CARNER ARNP (PRESIDENT)
(561) 843-2325
Entity
Organization
Contact information
Practice address
3075 NW 35TH AVE, LAUDERDALE LAKES, FL 33311-1107
(561) 843-2325
(561) 483-6266
Mailing address
22274 SW 61ST AVE, BOCA RATON, FL 33428-4410
(561) 843-2325
(561) 483-6266
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
P11000009589
FL
Other
Enumeration date
10/19/2011
Last updated
09/06/2012
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