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Organization
PEDIATRIC ALTERNATIVE TREATMENT CARE, HOUSING & EVALUATION SERVICES
Active
Organization
PEDIATRIC ALTERNATIVE TREATMENT CARE, HOUSING & EVALUATION SERVICES
Active
Other names
PATCHES
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AZONA KYLE SMITH RN, BSN (ADMINISTRATOR)
(305) 242-8122
Entity
Organization
Contact information
Practice address
4300 OKEECHOBEE RD, FORT PIERCE, FL 34947-5407
(772) 462-6601
Mailing address
335 S KROME AVE, SUITE 104, FLORIDA CITY, FL 33034-4906
(305) 242-8122
Taxonomy
Speciality
Code
Description
License number
State
2279G1100X
General Care Registered Respiratory Therapist
Primary
891891900
FL
Other
Enumeration date
06/11/2008
Last updated
09/11/2019
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