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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