Individual
EVENIE GEORGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
173 NW 78TH AVE, MARGATE, FL 33063-4717
(954) 756-0413
Mailing address
173 NW 78TH AVE, MARGATE, FL 33063-4717
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
110930
FL
Other
Enumeration date
09/06/2016
Last updated
09/06/2016
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