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1730950510
TEBACARE LLC
PLANTATION, FL
NPI
1730950510
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Entity Type
Organization
Authorized Contact
PAVEL KUROSH
Primary Care Provider
239-224-9547
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2024-01-11
Last Update Date
2024-02-23
Business Address
TEBACARE LLC
261 N UNIVERSITY DR SUITE 500 PMB 1064
PLANTATION, FL 33324-2009
Phone number: 786-396-0389
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Mailing Address
TEBACARE LLC
261 N UNIVERSITY DR SUITE 500 PMB 1064
PLANTATION, FL 33324-2009
Phone number:
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