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Organization
EXCLUSIVE HEALTH CENTER, PLLC
Active
Organization
EXCLUSIVE HEALTH CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA EBOHON NP (CEO)
(904) 552-4550
Entity
Organization
Contact information
Practice address
8 MADEIRA DR, ST AUGUSTINE, FL 32080-5343
(336) 686-2346
Mailing address
2800 N 6TH ST # 5078, ST AUGUSTINE, FL 32084-1920
(904) 552-4550
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
NULL
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/07/2021
Last updated
09/07/2021
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