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Organization
MED PRO HOME HEALTH CARE CONSULTANTS, LLC.
Active
Organization
MED PRO HOME HEALTH CARE CONSULTANTS, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VIVIAN O GONZALEZ RN (ADMINSTRATOR)
(305) 400-4818
Entity
Organization
Contact information
Practice address
1065 NE 125TH ST, SUITE 100, NORTH MIAMI, FL 33161-5821
(305) 400-4818
(305) 400-4824
Mailing address
1065 NE 125TH ST, SUITE 100, NORTH MIAMI, FL 33161-5821
(305) 400-4818
(305) 400-4824
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
299992399
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
299992399
AHCA LICENSE
FL
Enumeration date
07/19/2006
Last updated
03/21/2011
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