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Organization

THE WONDERKIDS CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LUIS YANCE (OWNER)
(786) 602-0904
Entity
Organization

Contact information

Practice address
7100 W COMMERCIAL BLVD STE 104, LAUDERHILL, FL 33319-2147
(754) 206-2953
Mailing address
7100 W COMMERCIAL BLVD STE 104, LAUDERHILL, FL 33319-2147
(754) 206-2953

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
FL
Enumeration date
07/08/2021
Last updated
07/08/2021
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