NPI Code Detail JSON Logo

1851943591 NPI number — ATTESOR MSO LLC

NPI Number: 1851943591
Health Care Provider/Practitioner: ATTESOR MSO LLC

Information about “1851943591” NPI (ATTESOR MSO LLC) exists in 1851943591 in HTML format HTML  |  1851943591 in plain Text format TXT  |  1851943591 in PDF (Portable Document Format) PDF  |  1851943591 in an XML format XML  formats.

NPI Number : 1851943591 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1851943591",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ATTESOR MSO LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3350 SW 148TH AVE STE 146",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MIRAMAR",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33027-3257",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "954-237-4377",
    "MailingAddressFaxNumber": "866-653-1953",
    "FirstLinePracticeLocationAddress": "3350 SW 148TH AVE STE 146",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MIRAMAR",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33027-3257",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "954-237-4377",
    "PracticeLocationAddressFaxNumber": "866-653-1953",
    "EnumerationDate": "07/12/2019",
    "LastUpdateDate": "08/13/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "WILLIAMS",
    "AuthorizedOfficialFirstName": "THEOTIS",
    "AuthorizedOfficialMiddleName": "V",
    "AuthorizedOfficialTitle": "CEO",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "954-237-4412",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "302F00000X",
        "TaxonomyName": "Exclusive Provider Organization",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.