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Individual

MR. ANTHONY RICHARD DENBOW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1074 NW 153 STREET, MIAMI, FL 33169
(305) 681-9762
(305) 622-9629
Mailing address
17820 NW 22 AVENUE, MIAMI GARDENS, FL 33056
(305) 681-9762
(305) 622-9629

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL7258
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
140196300
FL
Enumeration date
11/14/2014
Last updated
11/14/2014
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