Organization
BLACK HEARTS GALLERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER RAMIREZ APRN (NURSE PRACTITIONER)
(954) 593-4675
Entity
Organization
Contact information
Practice address
801 W SR 436, ALTAMONTE SPRINGS, FL 32714-3054
(954) 593-4675
Mailing address
1177 WOODS LANDING DR, MINNEOLA, FL 34715-6067
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
03/14/2024
Last updated
03/14/2024
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