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NPI Profile for RED DOOR MEDICAL PLLC in PLANTATION, FL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical |
363AM0700X | 97 | Physician Assistant |
| NPI # | 1154904217 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 05/05/2021 | |
| Last updated | 05/05/2021 - About 5 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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RED DOOR MEDICAL, PLLC.
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RED DOOR MEDICAL, PLLC.