Organization
PACE HEALTH SYSTEMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENRIETTA JO PACE (OWNER)
(305) 343-9812
Entity
Organization
Contact information
Practice address
25 SIERRA DR, MIAMI, FL 33179-3266
(305) 343-9812
Mailing address
25 SIERRA DR, MIAMI, FL 33179-3266
(305) 343-9812
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
302R00000X
Health Maintenance Organization
—
—
311Z00000X
Custodial Care Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255601142
—
FL
Enumeration date
01/09/2012
Last updated
01/09/2012
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