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Organization

DIABETES1ON1

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RAMON LAZARO ARCE JR. RN, CDE, CPT (CEO)
(305) 733-2929
Entity
Organization

Contact information

Practice address
1548 SW 189TH TER, PEMBROKE PINES, FL 33029-6143
(305) 733-2929
(954) 367-6789
Mailing address
1548 SW 189TH TER, PEMBROKE PINES, FL 33029-6143
(305) 733-2929
(954) 367-6789

Taxonomy

Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
RN3367672
FL
174H00000X
Health Educator
2011-0004
FL

Other

Enumeration date
12/14/2010
Last updated
01/03/2011
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