Organization
IVONN CANCIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVONN CANCIO (PRESIDENT)
(786) 484-5364
Entity
Organization
Contact information
Practice address
1791 W 58TH ST, HIALEAH, FL 33012-6889
(786) 488-2633
Mailing address
1791 W 58TH ST, HIALEAH, FL 33012-6889
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
08/19/2019
Last updated
02/22/2021
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