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Organization

POWER MD MSO LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
OSVALDO S MARTINEZ ADMINISTRATOR (CEO)
(954) 918-4533
Entity
Organization

Contact information

Practice address
4000 N 37TH AVE, HOLLYWOOD, FL 33021-1927
(954) 918-4533
Mailing address
4000 N 37TH AVE, HOLLYWOOD, FL 33021-1927
(954) 918-4533

Taxonomy

Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary

Other

Enumeration date
03/11/2019
Last updated
03/11/2019
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