Individual
DOLLY PEDRIQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6956 W SAMPLE RD, CORAL SPRINGS, FL 33067-4284
(954) 854-4809
Mailing address
6956 W SAMPLE RD, CORAL SPRINGS, FL 33067-4284
(954) 854-4809
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
W220202
FL
Other
Enumeration date
10/15/2014
Last updated
10/15/2014
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