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Organization

BROWARD MULTISPECIALTY GROUP LLC

Active
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Organization

BROWARD MULTISPECIALTY GROUP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GABRIELLE FINLEY-HAZLE (CHIEF EXECUTIVE OFFICER)
(954) 616-3627
Entity
Organization

Contact information

Practice address
160 NW 170TH ST, NORTH MIAMI BEACH, FL 33169-5521
(954) 616-3627
(954) 414-8453
Mailing address
401 E LAS OLAS BLVD, SUITE 130-137, FORT LAUDERDALE, FL 33301-2210
(954) 616-3627
(954) 414-8453

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
207T00000X
Neurological Surgery Physician
Primary

Other

Enumeration date
03/15/2010
Last updated
03/15/2010
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