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Organization

KINSHIP PACE OF SOUTH FLORIDA

Active
Parent organization
CITIPACE HOLDING COMPANY
Organization subpart
Yes

Provider details

NPI number
Legal business name
CITIPACE HOLDING COMPANY
Authorized official
LISA GARAY (CHIEF EXECUTIVE OFFICER)
(201) 675-5663
Entity
Organization

Contact information

Practice address
2555 DAVIE RD, DAVIE, FL 33317-7424
(866) 211-7082
Mailing address
885 3RD AVE FL 29, NEW YORK, NY 10022-4834
(727) 417-5819

Taxonomy

Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary

Other

Enumeration date
06/21/2025
Last updated
06/21/2025
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