Organization
DEVOTED MEDICAL GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAN BLUMENTHAL MD (AUTHORIZED REPRESENATIVE)
(617) 694-1113
Entity
Organization
Contact information
Practice address
2801 SW 149TH AVE STE 202, MIRAMAR, FL 33027-4146
(617) 958-1611
Mailing address
2801 SW 149TH AVE STE 202, MIRAMAR, FL 33027-4146
(617) 958-1611
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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