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Organization
SEPA CENTRAL FLORIDA, INC.
Active
Organization
SEPA CENTRAL FLORIDA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENE F GOMEZ (CEO)
(305) 596-4288
Entity
Organization
Contact information
Practice address
10621 N KENDALL DR STE 211, MIAMI, FL 33176-1530
(305) 596-4288
Mailing address
10621 N KENDALL DR STE 211, MIAMI, FL 33176-1530
(305) 596-4288
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
NULL
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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