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Organization
JOLI ENTERPRISES OF BREVARD LLC
Active
Organization
JOLI ENTERPRISES OF BREVARD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOUISE M MENASHE M.D. (PARTNER)
(321) 499-3413
Entity
Organization
Contact information
Practice address
2880 GRANT RD, GRANT VALKARIA, FL 32949-8115
(321) 499-3413
Mailing address
2880 GRANT RD, GRANT VALKARIA, FL 32949-8115
(321) 499-3413
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME0076426
FL
Other
Enumeration date
08/02/2010
Last updated
06/16/2016
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