Organization
PRIMARY CARE PRACTITIONERS OF SOUTH FLORIDA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVORY J CHRISTEN ARNP (VICE PRESIDENT)
(954) 894-0522
Entity
Organization
Contact information
Practice address
102 NE 2ND AVE, HALLANDALE BEACH, FL 33009-4212
(954) 894-0522
(954) 964-1244
Mailing address
PO BOX 4110, HALLANDALE, FL 33008-4110
(954) 894-0522
(954) 455-4435
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
ARNP1714142
FL
208D00000X
General Practice Physician
Primary
ME0049240
FL
208D00000X
General Practice Physician
OS0001922
FL
208D00000X
General Practice Physician
OS0007497
FL
Other
Enumeration date
11/19/2009
Last updated
11/19/2009
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