Individual
JOANES ST. SURIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1957 JACKSON ST, HOLLYWOOD, FL 33020-5021
(954) 921-2600
(954) 497-3857
Mailing address
4740 N STATE ROAD 7 STE 201, LAUDERDALE LAKES, FL 33319-5839
(954) 486-4005
(954) 497-3857
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/23/2017
Last updated
03/23/2017
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