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1124840962
PROVENA CARE LLC
MIAMI, FL
NPI
1124840962
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Entity Type
Organization
Authorized Contact
HECTOR FERNANDEZ
Managing Member
305-230-7371
Organization Subpart ?
No
Primary Taxonomy
261QH0100X Clinic/Center, Health Services
Enumeration Date
2024-10-31
Last Update Date
2024-10-31
Business Address
PROVENA CARE LLC
10251 SW 72ND ST STE 106
MIAMI, FL 33173-2957
Phone number: 305-230-7371
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Mailing Address
PROVENA CARE LLC
10251 SW 72ND ST STE 106
MIAMI, FL 33173-2957
Phone number: 305-230-7371
Copy
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