Organization
SESAME FLYERS OF SOUTH FLORIDA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDY HENDERSON ANSOLA (PRESIDENT/CEO)
(954) 274-7233
Entity
Organization
Contact information
Practice address
6781 NW 45TH ST, LAUDERHILL, FL 33319-4073
(954) 274-7233
(954) 741-6902
Mailing address
6781 NW 45TH ST, LAUDERHILL, FL 33319-4073
(954) 274-7233
(954) 741-6902
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
02/18/2011
Last updated
02/18/2011
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