Organization
FAMILY INVESTMENT & TRADE CORP
Active
Other names
Smart for Life Green Acres
Organization subpart
No
Provider details
NPI number
Authorized official
LENESE NAVAL (COORDINATOR)
(561) 328-8025
Entity
Organization
Contact information
Practice address
6318 FOREST HILL BLVD, GREENACRES, FL 33415-6104
(561) 328-8025
Mailing address
6318 FOREST HILL BLVD, GREENACRES, FL 33415-6104
(561) 328-8025
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G12000112470
FL
261QM1300X
Multi-Specialty Clinic/Center
Primary
G12000112470
FL
Other
Enumeration date
12/13/2012
Last updated
12/13/2012
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