53rd Street Medical Group, LLC

NPI #1962767202 in Ft Lauderdale, Florida

Provider Information

NPI Number
1962767202
Entity Type
Organization
Organization Name
53rd Street Medical Group, LLC
Primary Specialty
Psychiatry & Neurology - Addiction Medicine
Enumeration Date
Jul 12, 2012
Last Updated
Aug 1, 2012

Practice Location

Address
2331 NE 53RD ST
State
Florida
ZIP Code
33308-3235
Phone
(954) 491-9700

Authorized Official

Name
KAREN BARLOW
Title
PRESIDENT, JUPITER PROFESSIONAL DEV
Phone
(561) 748-2889

Specialties & Taxonomy Codes

Specialty
Psychiatry & Neurology - Addiction MedicineAddiction Medicine

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