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Organization
NOVENNA MEDICAL GROUP INC
Active
Organization
NOVENNA MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAHZIER ARIAS (OWNER)
(786) 762-2973
Entity
Organization
Contact information
Practice address
5979 NW 151 ST STE 110, MIAMI LAKES, FL 33014-2448
(786) 762-2973
Mailing address
5979 NW 151 ST STE 110, MIAMI LAKES, FL 33014-2448
(786) 762-2973
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCC11532
AHCA
FL
Enumeration date
11/02/2018
Last updated
09/01/2021
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