ATLANTIC SOUTH MEDICAL GROUP INCORPORATED NPI 1114275427

NPI Information

ATLANTIC SOUTH MEDICAL GROUP INCORPORATED is a clinic center in Aventura, FL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). ATLANTIC SOUTH MEDICAL GROUP INCORPORATED NPI is 1114275427. The provider is registered as an organization entity type.

The provider's business location address is:

2925 AVENTURA BLVD
SUITE 101
AVENTURA, FL
ZIP 33180-124
Phone: (305) 931-7424
Fax: (305) 931-7425

The provider's authorized official is Volrick Morrison .
The authorized official title is Physician and has the following contact phone number (305) 931-7424.

The CLIA number assigned to this NPI record is 10D2029122 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/16/2012 and was last updated on 3/23/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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