Organization
AHP OF SOUTH BROWARD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON ROSE BLASETTI (DIRECTOR CREDENTIALING & ENROLLMENT)
(770) 945-5330
Entity
Organization
Contact information
Practice address
11011 SHERIDAN ST, SUITE 106, HOLLYWOOD, FL 33026-1505
(645) 435-0101
Mailing address
3079 PEACHTREE INDUSTRIAL BLVD, DULUTH, GA 30097-2215
(770) 945-5330
(678) 546-3606
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
10/08/2010
Last updated
02/17/2011
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