Organization
DEQUATA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEQUILA D CUNNINGHAM-WILLIAMS (CEO)
(786) 208-5228
Entity
Organization
Contact information
Practice address
7451 RIVIERA BLVD STE 116, MIRAMAR, FL 33023-6567
(954) 261-6604
Mailing address
7451 RIVIERA BLVD STE 116, MIRAMAR, FL 33023-6567
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/28/2019
Last updated
03/28/2019
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