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1093471815
PROVIDENCE COMMUNITY HEALTH LLC
PALM SPRINGS, FL
NPI
1093471815
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Entity Type
Organization
Authorized Contact
SAUL ERNEST
Managing Member
561-619-3891
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
Enumeration Date
2021-11-16
Last Update Date
2021-11-16
Business Address
PROVIDENCE COMMUNITY HEALTH LLC
2150 S CONGRESS AVE
PALM SPRINGS, FL 33406-7604
Phone number: 561-619-3891
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Mailing Address
PROVIDENCE COMMUNITY HEALTH LLC
2150 S CONGRESS AVE
PALM SPRINGS, FL 33406-7604
Phone number: 561-619-3891
Copy
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