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1801225875
GERIATRIC PROVIDERS LLC
PALM BEACH GARDENS, FL
NPI
1801225875
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Entity Type
Organization
Authorized Contact
DINAKAR KOTIYAN
Administrator
561-557-4728
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
Enumeration Date
2013-11-11
Last Update Date
2013-11-11
Business Address
GERIATRIC PROVIDERS LLC
3838 NORTHLAKE BLVD
PALM BEACH GARDENS, FL 33403-1535
Phone number: 561-557-4728
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Mailing Address
GERIATRIC PROVIDERS LLC
3838 NORTHLAKE BLVD
PALM BEACH GARDENS, FL 33403-1535
Phone number: 561-557-4728
Copy
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