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Organization
URBAN RETREAT INC
Active
Organization
URBAN RETREAT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANCISCO VELAZ (OWNER)
(954) 249-9176
Entity
Organization
Contact information
Practice address
4450 NE 20TH AVE, OAKLAND PARK, FL 33308-5112
(954) 249-9176
Mailing address
4450 NE 20TH AVE, OAKLAND PARK, FL 33308-5112
(954) 249-9176
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA32984
FL
Other
Enumeration date
02/22/2012
Last updated
02/22/2012
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