Organization
MIZELL PALLIATIVE CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUY C JEANTY PHD (EXECUTIVE DIRECTOR)
(954) 895-1960
Entity
Organization
Contact information
Practice address
4801 S UNIVERSITY DR, #249, DAVIE, FL 33328-3839
(954) 680-4352
(954) 642-9438
Mailing address
4801 S UNIVERSITY DR, #249, DAVIE, FL 33328-3839
(954) 680-4352
(954) 642-9438
Taxonomy
Speciality
Code
Description
License number
State
251X00000X
Supports Brokerage Agency
Primary
—
—
Other
Enumeration date
12/11/2012
Last updated
12/11/2012
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