Organization
MFDA ENTERPRISES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ABELLARD (PRESIDENT)
(561) 433-4446
Entity
Organization
Contact information
Practice address
4849 LAKE WORTH RD, GREENACRES, FL 33463-3455
(561) 433-4446
Mailing address
4849 LAKE WORTH RD, GREENACRES, FL 33463-3455
(561) 433-4446
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
06/27/2011
Last updated
06/27/2011
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