Organization
FAMILIA HEALTH CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARTHUR SODERBERG (CFO)
(954) 531-0461
Entity
Organization
Contact information
Practice address
450 W HILLSBORO BLVD, DEERFIELD BEACH, FL 33441-1604
(954) 531-0461
(954) 531-0713
Mailing address
450 W HILLSBORO BLVD, DEERFIELD BEACH, FL 33441-1604
(954) 531-0461
(954) 531-0713
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12398
AHCA LICENSE
FL
Enumeration date
08/24/2020
Last updated
11/10/2022
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