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Organization
NOVELLAS'S HEALTH CARE LLC
Active
Organization
NOVELLAS'S HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORGE NOVELLAS ZAYAS APRN (OWNER)
(786) 717-3164
Entity
Organization
Contact information
Practice address
17855 NW 78TH AVE, HIALEAH, FL 33015-2805
(305) 530-8979
(305) 530-8979
Mailing address
17855 NW 78TH AVE, HIALEAH, FL 33015-2805
(305) 530-8979
(305) 530-8979
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053920173
—
FL
Enumeration date
07/05/2022
Last updated
09/21/2022
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