PROVENA CARE LLC

MIAMI, FL
NPI1124840962
Entity TypeOrganization
Authorized ContactHECTOR FERNANDEZ
Administrator
305-395-7108
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
Enumeration Date2024-10-31
Last Update Date2026-10-19
Business Address
PROVENA CARE LLC
10251 SW 72ND ST STE 106
MIAMI, FL 33173-2957
Phone number: 305-395-7108
Mailing Address
PROVENA CARE LLC
10251 SW 72ND ST STE 106
MIAMI, FL 33173-2957
Phone number: 305-395-7108