Organization
MAHOGANY REVUE R&D DEVELOPMENT CENTER
Active
Other names
Project Healthy Choices
Organization subpart
No
Provider details
NPI number
Authorized official
PROF. CANDACE LEWIS-SHASHIKARSHE (CEO)
(352) 368-1900
Entity
Organization
Contact information
Practice address
903 NE OSCEOLA AVE, OCALA, FL 34470-5208
(352) 368-1900
(877) 553-1964
Mailing address
PO BOX 4954, OCALA, FL 34478-4954
(352) 368-1900
(877) 553-1934
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
02/03/2018
Last updated
02/03/2018
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