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Organization

RONI KOMIE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. RONI S KOMIE LCSW (LICENSED CLINICAL SOCIAL WORKER)
(954) 929-5797
Entity
Organization

Contact information

Practice address
2751 S OCEAN DR, 1803-S, HOLLYWOOD, FL 33019-2721
(954) 929-5797
(954) 929-5798
Mailing address
2751 S OCEAN DR, 1803-S, HOLLYWOOD, FL 33019-2721
(954) 929-5797
(954) 929-5798

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SW2806
FL

Other

Enumeration date
08/30/2012
Last updated
08/30/2012
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