Organization
CENTRICITY MOBILE HEALTH CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BINETTE APSALON DORMINIER (OWNER)
(561) 319-2548
Entity
Organization
Contact information
Practice address
6805 S FEDERAL HWY, PORT ST LUCIE, FL 34952-1434
(772) 242-1269
Mailing address
6805 S FEDERAL HWY, PORT ST LUCIE, FL 34952-1434
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/19/2021
Last updated
04/19/2021
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