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Organization

ENRIQUE TECHNOLOGIES INC

Active
Parent organization
ENRIQUE TECHNOLOGIES INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
ENRIQUE TECHNOLOGIES INC
Authorized official
ALDO ENRIQUE (OWNER)
(904) 626-9244
Entity
Organization

Contact information

Practice address
506 4TH ST NW, JASPER, FL 32052-6603
(904) 626-9244
(386) 758-8018
Mailing address
120 SUNSET HARBOR WAY, NO 201, ST AUGUSTINE, FL 32080-8238

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary

Other

Enumeration date
08/14/2009
Last updated
08/21/2009
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