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Organization
YOUR SUPREME HEALTH
Active
Organization
YOUR SUPREME HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULINE HENRY FNP (MM)
(786) 439-6990
Entity
Organization
Contact information
Practice address
92 NE 49TH ST, MIAMI, FL 33137-3116
(786) 439-6990
Mailing address
92 NE 49TH ST, MIAMI, FL 33137-3116
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
12/03/2021
Last updated
12/03/2021
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