Organization
MTF HEALTHY LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK FLORENTINO NP (NURSE PRACTITIONER)
(626) 278-8371
Entity
Organization
Contact information
Practice address
144 S MAIN ST, STE 100, ALPINE, UT 84004-1667
(626) 278-8371
Mailing address
8605 SANTA MONICA BLVD STE 93295, WEST HOLLYWOOD, CA 90069-4109
(626) 278-8371
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
02/25/2025
Last updated
04/18/2025
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