Organization
PRACTITIONERS HEALTHCARE NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANE JOHN FNP (PRESIDENT)
(954) 668-0287
Entity
Organization
Contact information
Practice address
9540 HUDSON ST, MIRAMAR, FL 33025-4208
(954) 668-0287
Mailing address
4788 W COMMERCIAL BLVD, TAMARAC, FL 33319-2878
(954) 668-0287
(954) 640-1455
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
3112112
FL
261Q00000X
Clinic/Center
3112112
FL
313M00000X
Nursing Facility/Intermediate Care Facility
3112112
FL
Other
Enumeration date
07/27/2016
Last updated
07/27/2016
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