Organization
CENTER FOR GLOBAL HEALTH & HUMANITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL MICHAEL UKPONG MPH (PRESIDENT)
(772) 446-0389
Entity
Organization
Contact information
Practice address
1721 SW GLORIA LN, PORT ST LUCIE, FL 34953-1554
(772) 446-0389
Mailing address
1721 SW GLORIA LN, PORT ST LUCIE, FL 34953-1554
(772) 446-0389
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
N05000007078
FL
291U00000X
Clinical Medical Laboratory
Primary
N05000007078
FL
302F00000X
Exclusive Provider Organization
N05000007078
FL
320800000X
Mental Illness Community Based Residential Treatment Facility
N05000007078
FL
324500000X
Substance Abuse Rehabilitation Facility
N05000007078
FL
332B00000X
Durable Medical Equipment & Medical Supplies
N05000007078
FL
Other
Enumeration date
01/16/2008
Last updated
01/16/2008
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