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Organization
247 HEALTHCARE AGENCY
Active
Organization
247 HEALTHCARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIQUE MATHURIN (VP)
(407) 779-1613
Entity
Organization
Contact information
Practice address
5050 S US HIGHWAY 17/92 STE 106, CASSELBERRY, FL 32707-3863
(321) 800-4488
(321) 800-4499
Mailing address
5050 S US HIGHWAY 17/92 STE 106, CASSELBERRY, FL 32707-3863
(321) 800-4488
(321) 800-4499
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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