NPI | 1568842615 |
---|---|
Former Legal Business Name | JESSIE TRICE COMMUNITY HEALTH CENTER INC |
Entity Type | Organization |
Authorized Contact | ANNIE NEASMAN President/CEO 305-805-1700 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: FL DN12903) |
Enumeration Date | 2015-06-04 |
Last Update Date | 2018-01-26 |