Individual
LELIA POWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10650 W STATE ROAD 84, DAVIE, FL 33324-4235
(954) 634-3636
Mailing address
1000 IVYDALE TER, DAVIE, FL 33325-6520
(954) 801-3130
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010819200
—
FL
Enumeration date
07/30/2014
Last updated
07/30/2014
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