Organization
ONE STOP HEALTH SHOP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWINA CASSIS (ADMINISTRATOR)
(631) 830-9357
Entity
Organization
Contact information
Practice address
605 BELVEDERE RD STE 6, WEST PALM BEACH, FL 33405-1216
(631) 830-9357
Mailing address
116 SE PRIMA VISTA BLVD, PORT SAINT LUCIE, FL 34983-8464
(631) 830-9357
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000
NA
—
Enumeration date
04/22/2020
Last updated
04/22/2020
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