Organization
FOREVER YOUNG BHRT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIOVER LEIVA (OWNER)
(786) 343-0905
Entity
Organization
Contact information
Practice address
4101 N ANDREWS AVE STE 302, OAKLAND PARK, FL 33309-4776
(786) 343-0905
Mailing address
4101 N ANDREWS AVE STE 302, OAKLAND PARK, FL 33309-4776
(786) 343-0905
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/12/2024
Last updated
11/12/2024
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