PROVITA PHYSICIAN GROUP CORP

HOLLYWOOD, FL
NPI1992435622
Entity TypeOrganization
Authorized ContactILEANA DELGADO
Office Manager
305-878-9072
Organization Subpart ?Yes
Primary Taxonomy261Q00000X Clinic/Center
Enumeration Date2022-06-15
Last Update Date2023-03-07
Business Address
PROVITA PHYSICIAN GROUP CORP
3157 N UNIVERSITY DR STE 103
HOLLYWOOD, FL 33024-2258
Phone number: 954-322-8985
Mailing Address
PROVITA PHYSICIAN GROUP CORP
3157 N UNIVERSITY DR STE 103
HOLLYWOOD, FL 33024-2258
Phone number: 954-322-8985
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