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Organization

PLAY SAFE LLC

Active
Parent organization
PLAY SAFE LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
PLAY SAFE LLC
Authorized official
VIVIAN CHONA ARNP (ARNP/OWNER)
(954) 456-5680
Entity
Organization

Contact information

Practice address
1008 WEST HALLANDALE BEACH BLVD, HALLANDALE, FL 33009
(954) 456-5680
(954) 456-5682
Mailing address
1008 WEST HALLANDALE BEACH BLVD, HALLANDALE, FL 33009
(954) 456-5680
(954) 456-5682

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
ARNP9192984
FL
261QM1300X
Multi-Specialty Clinic/Center
ARNPN9192902
FL
261QM1300X
Multi-Specialty Clinic/Center
Primary
ME47182
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000274400
FL
05
010284000
FL
Enumeration date
01/02/2015
Last updated
03/18/2015
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