Organization
MEMORIAL HEALTHCARE SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA P DOMINGUEZ MGC-CAP (HEALTHY FAMILIES TEAM LEADER)
(754) 204-2904
Entity
Organization
Contact information
Practice address
1750 E HALLANDALE BEACH BLVD, HALLANDALE BEACH, FL 33009-4611
(754) 204-2904
Mailing address
1750 E HALLANDALE BEACH BLVD, HALLANDALE BEACH, FL 33009-4611
(754) 204-2904
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
02/06/2012
Last updated
02/06/2012
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