Individual
MIRTA DAVID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3115 LEE ST, HOLLYWOOD, FL 33021-3712
(305) 785-2898
(954) 920-2694
Mailing address
3115 LEE ST, HOLLYWOOD, FL 33021-3712
(305) 785-2898
(954) 920-2694
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
CNA183606
FL
Other
Enumeration date
04/28/2016
Last updated
04/28/2016
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