Organization
FLAMINGO WOMEN'S PAVILION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAQUELINE BENHJAMIN (OFFICE MANAGER)
(954) 435-4700
Entity
Organization
Contact information
Practice address
12600 PEMBROKE RD, SUITE 202, MIRAMAR, FL 33027-2544
(954) 435-4700
Mailing address
12600 PEMBROKE RD, SUITE 202, MIRAMAR, FL 33027-2544
(954) 435-4700
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
ME 90059
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2745241
—
FL
Enumeration date
06/06/2014
Last updated
06/06/2014
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