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1851875819
PROVIDENCE HEALTH CENTER LLC
OAKLAND PARK, FL
NPI
1851875819
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Entity Type
Organization
Authorized Contact
GUERLYNE DESIR
Owner
954-267-9696
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2018-09-17
Last Update Date
2018-09-17
Business Address
PROVIDENCE HEALTH CENTER LLC
1736 E COMMERCIAL BLVD
OAKLAND PARK, FL 33334-5721
Phone number: 954-267-9696
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Mailing Address
PROVIDENCE HEALTH CENTER LLC
1736 E COMMERCIAL BLVD
OAKLAND PARK, FL 33334-5721
Phone number: 954-267-9696
Copy
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