Organization
EPIFANI LLC
Active
Other names
1 Heart Care Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
URSULA NKWANTABISA (OWNER)
(850) 687-7890
Entity
Organization
Contact information
Practice address
1704 CARTIER PL, FORT WALTON BEACH, FL 32547-5730
(850) 687-7890
Mailing address
1704 CARTIER PL, FORT WALTON BEACH, FL 32547-5730
(850) 687-7890
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103096400
—
FL
Enumeration date
07/28/2019
Last updated
07/28/2019
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