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1366210973
OHANA FAMILY PRACTICE LLC
MELBOURNE, FL
NPI
1366210973
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Entity Type
Organization
Authorized Contact
KATIE LOU SHOUPPE
Owner
321-473-6292
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2023-12-13
Last Update Date
2023-12-13
Business Address
OHANA FAMILY PRACTICE LLC
8255 N WICKHAM RD STE 100
MELBOURNE, FL 32940-8202
Phone number: 321-473-6292
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Mailing Address
OHANA FAMILY PRACTICE LLC
8255 N WICKHAM RD STE 100
MELBOURNE, FL 32940-8202
Phone number: 321-473-6292
Copy
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