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NPI Verification

National Provider Identifier: 1942022413

5630 LLC

Organization

Primary Specialty

Internal Medicine

Code: 207R00000X

Practice Address

5630 OAKTREE AVE

FORT LAUDERDALE, FL 333126375

Phone: 847-571-4323

NPI Enumeration Date

October 28, 2024

NPI Number

1942022413

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry
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