Organization
GRACE OROPESA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRAZIQ OROPESA ARNP (OWNER)
(954) 918-2820
Entity
Organization
Contact information
Practice address
12824 NW 21ST ST, PEMBROKE PINES, FL 33028-2534
(954) 918-2820
Mailing address
12824 NW 21ST ST, PEMBROKE PINES, FL 33028-2534
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000176264
—
CO
Enumeration date
11/05/2019
Last updated
11/05/2019
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