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1912509233
PENSTAR PROVIDER NETWORK LLC
PEMBROKE PINES, FL
NPI
1912509233
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Entity Type
Organization
Authorized Contact
ILEANA VILLARREAL
Mgr
954-281-5022
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
Enumeration Date
2020-11-11
Last Update Date
2020-11-11
Business Address
PENSTAR PROVIDER NETWORK LLC
1931 NW 150TH AVE STE 228
PEMBROKE PINES, FL 33028-2880
Phone number: 754-226-6456
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Mailing Address
PENSTAR PROVIDER NETWORK LLC
1931 NW 150TH AVE STE 228
PEMBROKE PINES, FL 33028-2880
Phone number: 754-226-6456
Copy
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