Organization
AWAKEN HEALTH DIRECT PRIMARY CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FLORENCIA GOLUBOFF MD (OWNER)
(954) 646-6911
Entity
Organization
Contact information
Practice address
12525 ORANGE DR STE 710, DAVIE, FL 33330-4308
(954) 646-6911
Mailing address
12525 ORANGE DR STE 710, DAVIE, FL 33330-4308
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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