Organization
ASSOCIATESMD MEDICAL GROUP INC
Active
Parent organization
ASSOCIATESMD MEDICAL GROUP INC
Other names
AssociatesMD Medical Group Inc
Organization subpart
Yes
Provider details
NPI number
Legal business name
ASSOCIATESMD MEDICAL GROUP INC
Authorized official
MR. LUIS FELIPE LAFRATTA (CHIEF EXECUTIVE OFFICER)
(954) 434-1705
Entity
Organization
Contact information
Practice address
4780 SW 64TH AVE STE 101, DAVIE, FL 33314-4400
(954) 434-1705
Mailing address
4780 SW 64TH AVE STE 103, DAVIE, FL 33314-4400
(954) 434-1705
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/23/2019
Last updated
07/10/2024
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