Organization
PALM SPRINGS MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J LANDRY (MANAGING PARTNER)
(786) 233-8722
Entity
Organization
Contact information
Practice address
1490 W 49TH PL, SUITE 506, HIALEAH, FL 33012-3148
(305) 692-9009
(305) 541-4220
Mailing address
1380 NE MIAMI GARDENS DR, SUITE 210, N MIAMI BEACH, FL 33179-4707
(305) 692-9009
(305) 541-4220
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
FL
Other
Enumeration date
10/14/2016
Last updated
10/15/2016
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