Organization
GMPD ENTERPRISES
Active
Other names
Epiphany Medical Services
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY N KLEBBA (CEO)
(561) 860-5015
Entity
Organization
Contact information
Practice address
7100 W CAMINO REAL, BOCA RTAON, FL 33433
(561) 860-5015
Mailing address
7100 W CAMINO REAL, BOCA RTAON, FL 33433
(561) 860-5015
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
10/01/2015
Last updated
02/24/2016
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