Organization
SURAMED HEALTH CENTER, PA
Active
Other names
SURAMED HEALTH CENTER PA PALOMINO
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALFONSO J HENRIQUEZ MD (PEDIATRICS)
(561) 798-5437
Entity
Organization
Contact information
Practice address
3319 S STATE ROAD 7, STE 109, WELLINGTON, FL 33449
(561) 798-5437
(561) 798-7726
Mailing address
3319 SR 7, SUITE 109, WELLINGTON, FL 33449
(561) 798-5437
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009406901
—
FL
Enumeration date
08/22/2018
Last updated
12/23/2024
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