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Organization
LICE TROOPERS
Active
Organization
LICE TROOPERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARIE HAREL (OWNER)
(347) 276-0016
Entity
Organization
Contact information
Practice address
13027 SW 88TH ST, MIAMI, FL 33186-1708
(347) 276-0016
Mailing address
5640 COLLINS AVE APT 3A, MIAMI BEACH, FL 33140-2436
(347) 276-0016
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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