Pmr Affiliates La Mso LLC
NPI #1407224108 in Miami Gardens, Florida
Provider Information
- NPI Number
- 1407224108
- Entity Type
- Organization
- Organization Name
- Pmr Affiliates La Mso LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PMR US HOLDINGS LLC
- Primary Specialty
- General Practice
- Enumeration Date
- Sep 11, 2015
- Last Updated
- Sep 11, 2015
Practice Location
- Address
- 1395 NW 167TH ST
- City
- Miami Gardens
- State
- Florida
- ZIP Code
- 33169-5742
- Phone
- (305) 628-6117
Authorized Official
- Name
- CHRISTOPHER CHEN
- Title
- CEO
- Phone
- (305) 628-6117
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Practice |
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