Organization
AQUANOVA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA M BEAUBOEUF (CEO)
(800) 209-6550
Entity
Organization
Contact information
Practice address
18004 NW 6TH ST, 104, PEMBROKE PINES, FL 33029-2823
(800) 209-6550
(954) 885-1340
Mailing address
18004 NW 6TH ST, 104, PEMBROKE PINES, FL 33029-2823
(800) 209-6550
(954) 885-1340
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
01/23/2014
Last updated
06/10/2016
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