Organization
GREEN EVOLUTION SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE GARCIA NOVOA (PRESIDENT)
(786) 369-6034
Entity
Organization
Contact information
Practice address
269 N UNIVERSITY DR STE H, PEMBROKE PINES, FL 33024-6715
(786) 369-6034
Mailing address
269 N UNIVERSITY DR STE H, PEMBROKE PINES, FL 33024-6715
(786) 369-6034
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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