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Organization

NACIDOS EN DIVINA MICEROCORDIA INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JENNY I TORRES (CHEIF OF OPERATION)
(813) 662-4808
Entity
Organization

Contact information

Practice address
315 S US HIGHWAY 41, RUSKIN, FL 33570-4660
(813) 662-4808
Mailing address
315 US HIGHWAY SOUTH 41, RUSKIN, FL 33570
(813) 662-4808
(813) 649-8323

Taxonomy

Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary

Other

Enumeration date
06/09/2016
Last updated
06/09/2016
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