Attesor Mso LLC

NPI #1851943591 in Miramar, Florida

Provider Information

NPI Number
1851943591
Entity Type
Organization
Organization Name
Attesor Mso LLC
Primary Specialty
Exclusive Provider Organization
Enumeration Date
Jul 12, 2019
Last Updated
Aug 13, 2020

Practice Location

Address
3350 SW 148TH AVE STE 146
State
Florida
ZIP Code
33027-3257
Phone
(954) 237-4377

Authorized Official

Name
MR. THEOTIS V WILLIAMS
Title
CEO
Phone
(954) 237-4412

Specialties & Taxonomy Codes

Specialty
Exclusive Provider Organization

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