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Organization

PECANS DAY SPA INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DONALD SCOTT VOROUS LMT (VICE PRESIDENT)
(305) 284-8636
Entity
Organization

Contact information

Practice address
7800 SW 57TH AVE STE 120, SOUTH MIAMI, FL 33143-5543
(305) 284-8636
(305) 661-0550
Mailing address
7800 SW 57TH AVE STE 120, SOUTH MIAMI, FL 33143-5543
(305) 284-8636
(305) 661-0550

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MA31962
FL

Other

Enumeration date
07/29/2010
Last updated
07/29/2010
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