Organization
ERNA LDP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ERNA JULIEN (CEO)
(772) 444-2779
Entity
Organization
Contact information
Practice address
4848 NW 24TH CT, UNIT 428, FORT LAUDERDALE, FL 33313
(772) 444-2779
Mailing address
3901 W BROWARD BLVD UNIT 120504, FORT LAUDERDALE, FL 33312-8422
(772) 444-2779
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
01/05/2023
Last updated
01/05/2023
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