Organization
CAREIQ
Active
Other names
ancicare
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ARLENE CHEJANOVSKI (BRANCH MANAGER)
(954) 744-5678
Entity
Organization
Contact information
Practice address
2020 NW 150TH AVE, SUITE 304, PEMBROKE PINES, FL 33028-2805
(954) 744-5674
(866) 432-0593
Mailing address
2020 NW 150TH AVE, SUITE 304, PEMBROKE PINES, FL 33028-2805
(954) 744-5674
(866) 432-0593
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
261QR0200X
FL
Other
Enumeration date
07/30/2007
Last updated
03/22/2011
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