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Individual

MICHAEL HOSEIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
7911 NW 90TH AVE, TAMARAC, FL 33321-1535
(954) 816-5792
(954) 960-2372
Mailing address
7911 NW 90TH AVE, TAMARAC, FL 33321-1535
(954) 816-5792
(954) 960-2372

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
19043
FL

Other

Enumeration date
12/28/2013
Last updated
12/28/2013
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