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Organization
LICE NOT NICE LLC
Active
Organization
LICE NOT NICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANCK CHARLES DUTTO (CEO)
(786) 569-1377
Entity
Organization
Contact information
Practice address
8680 SW 72ND ST, MIAMI, FL 33143-3734
(786) 534-7277
Mailing address
8680 SW 72ND ST, MIAMI, FL 33143-3734
(786) 534-7277
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
193400000X
SINGLE SPECIALTY GROUP
FL
01
—
247200000X
TECHNICIAN, OTHER
FL
01
—
99203
LICE TREATMENT
FL
Enumeration date
02/15/2019
Last updated
02/15/2019
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