Organization
HALLENDALE ANESTHESIA GRP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK LWARENCE SCHWARTZ M.D. (MEDICAL DIRECTOR)
(954) 455-1668
Entity
Organization
Contact information
Practice address
815 SE 1ST AVE, HALLANDALE BEACH, FL 33009-7102
(954) 455-1668
(954) 455-1669
Mailing address
815 SE 1ST AVE, HALLANDALE BEACH, FL 33009-7102
(954) 455-1668
(954) 455-1669
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
OS 8808
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OS 8808
STATE LICENSE NUMBER
FL
Enumeration date
01/17/2007
Last updated
08/30/2007
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