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Organization
JANICE D BACCHUS, LLC
Active
Organization
JANICE D BACCHUS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JANICE DENISE BACCHUS ARNP (OWNER)
(786) 423-8500
Entity
Organization
Contact information
Practice address
9000 SW 152ND ST, SUITE 105, PALMETTO BAY, FL 33157-1981
(786) 445-0810
(786) 217-1409
Mailing address
9000 SW 152ND ST, SUITE 105, PALMETTO BAY, FL 33157-1981
(786) 445-0810
(786) 217-1409
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP9185531
FL
Other
Enumeration date
09/26/2013
Last updated
09/26/2013
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