Organization
SURAMED HEALTH CENTER, PA
Active
Other names
SURAMED HEALTH CENTER PA GREENACRES
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALFONSO J HENRIQUEZ MD (PEDIATRICIAN)
(561) 812-1271
Entity
Organization
Contact information
Practice address
6293 LAKE WORTH RD, GREENACRES, FL 33463
(561) 812-1271
(561) 964-4050
Mailing address
6293 LAKE WORTH RD, GREENACRES, FL 33463
(561) 812-1271
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009406902
—
FL
Enumeration date
06/04/2018
Last updated
12/23/2024
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