PROVIDER ASSOCIATES IPA

HOMESTEAD, FL
NPI1124713045
Entity TypeOrganization
Authorized ContactLUIS DE LAMAR
CEO
305-606-6494
Organization Subpart ?No
Primary Taxonomy302F00000X Exclusive Provider Organization
Enumeration Date2023-04-06
Last Update Date2023-04-06
Business Address
PROVIDER ASSOCIATES IPA
25865 SW 139TH PATH
HOMESTEAD, FL 33032-6696
Phone number: 305-606-6494
Mailing Address
PROVIDER ASSOCIATES IPA
25865 SW 139TH PATH
HOMESTEAD, FL 33032-6696
Phone number: 305-606-6494
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