Organization
SOUTH BROAD HEALTH GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANELYS PEREZ QUINTANA (PRESIDENT/OWNER)
(504) 827-5678
Entity
Organization
Contact information
Practice address
318 S BROAD ST, NEW ORLEANS, LA 70119-6416
(504) 827-5678
(504) 827-5288
Mailing address
318 S BROAD ST, NEW ORLEANS, LA 70119-6416
(504) 827-5678
(504) 827-5288
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
12/17/2008
Last updated
12/17/2008
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