Organization
WESTCHESTER PROFESSIONAL HEALTH SERVICES INC
Active
Organization
WESTCHESTER PROFESSIONAL HEALTH SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVAN NUNEZ SR. (PRESIDENT)
(305) 269-4014
Entity
Organization
Contact information
Practice address
7171 SW 24 ST, SUITE 419, MIAMI, FL 33155
(305) 269-4014
Mailing address
7171 SW 24 ST, SUITE 419, MIAMI, FL 33155
(305) 269-4014
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
HCC7187
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCC7187
AHCA LICENSE
FL
Enumeration date
08/21/2006
Last updated
09/06/2007
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