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Organization
LICE CLINICS OF AMERICA DADE COUNTY
Active
Organization
LICE CLINICS OF AMERICA DADE COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EDITH IBANEZ (OWNER)
(786) 239-6645
Entity
Organization
Contact information
Practice address
175 FONTAINEBLEAU BLVD STE 1H, MIAMI, FL 33172-7012
(786) 239-6645
Mailing address
175 FONTAINEBLEAU BLVD STE 1H, MIAMI, FL 33172-7012
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
—
—
Other
Enumeration date
04/17/2019
Last updated
04/17/2019
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