Organization
TLC WOMENS HEALTH CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRIANELLYS ROQUE APRN, CNM (OWNER)
(954) 670-9012
Entity
Organization
Contact information
Practice address
1000 N HIATUS RD STE 160, PEMBROKE PINES, FL 33026-3096
(954) 670-9012
Mailing address
1000 N HIATUS RD STE 160, PEMBROKE PINES, FL 33026-3096
(954) 670-9012
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
08/24/2020
Last updated
09/07/2022
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