Organization
COLLABORATIVE MEDICAL HOME SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA O'CONNOR ARNP. PH.D. (PRESIDENT)
(561) 632-2898
Entity
Organization
Contact information
Practice address
3744 CYPRESS LAKE DR, LAKE WORTH, FL 33467-2203
(561) 907-7413
Mailing address
3744 CYPRESS LAKE DR, LAKE WORTH, FL 33467-2203
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
—
FL
Other
Enumeration date
07/27/2016
Last updated
04/25/2017
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