Organization
MASON HERSHORIN MSN ARNP INC.
Active
Other names
Medical Practitioner Healthsystems
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLAS NIETO MA (MEDICAL ASSISTANT)
(954) 432-1812
Entity
Organization
Contact information
Practice address
4217 SW 64TH AVE, SUITE #1, DAVIE, FL 33314-3446
(954) 432-1812
Mailing address
4217 SW 64TH AVE, SUITE #1, DAVIE, FL 33314-3446
(954) 432-1812
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
FL
Other
Enumeration date
05/25/2016
Last updated
05/25/2016
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