Organization
PRIMARY HEALTH PHYSICIANS GROUP, LLC
Active
Other names
PHPG
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GUY RUDOLPH MOISE D.O. (PRESIDENT AND CEO)
(305) 403-2219
Entity
Organization
Contact information
Practice address
655 NW 119TH ST, NORTH MIAMI, FL 33168-2522
(305) 403-2219
(786) 517-3620
Mailing address
655 NW 119TH ST, NORTH MIAMI, FL 33168-2522
(305) 403-2219
(786) 517-3620
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
08/20/2014
Last updated
08/20/2014
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