Organization
BREEZY IV HYDRATION THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DAPHNE DESMARATTES (CEO)
(305) 962-8854
Entity
Organization
Contact information
Practice address
767 S STATE ROAD 7, PLANTATION, FL 33317-4000
(305) 962-8854
Mailing address
1602 SW 159TH AVE, PEMBROKE PINES, FL 33027-2342
(305) 962-8854
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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