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Organization

GREENACRES HEALTH & REHAB LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN DELUCA MD (MGR)
(561) 964-9331
Entity
Organization

Contact information

Practice address
4010 S 57TH AVE STE 101, GREENACRES, FL 33463-4301
(561) 964-9331
Mailing address
4010 S 57TH AVE STE 101, GREENACRES, FL 33463-4301
(561) 964-9331

Taxonomy

Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary

Other

Enumeration date
08/16/2020
Last updated
08/16/2020
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