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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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