Individual
MAURICE BYNUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5360 SW 24TH ST, WEST PARK, FL 33023-3151
(305) 762-2836
Mailing address
5360 SW24TH STREET, WEST PARK, FL 33023
(305) 762-2836
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
0066482
FL
Other
Enumeration date
01/09/2009
Last updated
10/26/2010
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