# SOUTH BROAD HEALTH GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568608834
- **Authorized official:** ANELYS PEREZ QUINTANA (PRESIDENT/OWNER)
- **Authorized official phone:** (504) 827-5678

## Contact information

- **Practice address:** 318 S BROAD ST, NEW ORLEANS, LA 70119-6416
- **Practice address phone:** (504) 827-5678
- **Practice address fax:** (504) 827-5288
- **Mailing address:** 318 S BROAD ST, NEW ORLEANS, LA 70119-6416
- **Mailing address phone:** (504) 827-5678
- **Mailing address fax:** (504) 827-5288

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/17/2008
- **Last updated:** 12/17/2008