Organization
COLUMBIA MEDICAL IDTF LLC
Active
Parent organization
COLUMBIA MEDICAL, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
COLUMBIA MEDICAL, LLC
Authorized official
MR. THOMAS O MARAZON (OWNER)
(954) 381-7110
Entity
Organization
Contact information
Practice address
6600 NW 16TH ST STE 1, PLANTATION, FL 33313-4554
(954) 381-7110
(754) 206-3958
Mailing address
6600 NW 16TH ST STE 1, PLANTATION, FL 33313-4554
(954) 381-7110
(754) 206-3958
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
06/27/2023
Last updated
07/07/2023
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