Individual
CARMEN ELENA ENRIQUEZ PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18501 PINES BLVD STE 34, PEMBROKE PINES, FL 33029-1414
(786) 759-7229
Mailing address
3561 SW 117TH AVE APT 108, MIAMI, FL 33175-1751
(786) 853-4765
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
0102413P
FL
Other
Enumeration date
11/28/2022
Last updated
11/28/2022
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