Individual
BILLY DENICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2610 NW 19TH AVE, MIAMI, FL 33142-7502
(305) 637-5427
Mailing address
2610 NW 19TH AVE, MIAMI, FL 33142-7502
(305) 637-5427
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
9437
FL
Other
Enumeration date
08/05/2009
Last updated
08/05/2009
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