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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