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Organization

LEAP HEALTH CARE SOLUTIONS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIESHA-LUE CLARKE (OWNER)
(954) 274-6464
Entity
Organization

Contact information

Practice address
4680 CASPIAN WAY, DAVIE, FL 33314-4474
(954) 274-6464
Mailing address
4680 CASPIAN WAY, DAVIE, FL 33314-4474
(954) 274-6464

Taxonomy

Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100835000
FL
Enumeration date
03/07/2020
Last updated
03/07/2020
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