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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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