Organization
HOUSECALL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KORITA JOHNSON APRN (OWNER)
(305) 492-5175
Entity
Organization
Contact information
Practice address
1931 NW 150TH AVE, PEMBROKE PINES, FL 33028-2877
(786) 372-0053
Mailing address
710 SW 64TH WAY, PEMBROKE PINES, FL 33023-1540
(305) 492-5175
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/29/2020
Last updated
06/29/2020
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