Organization
HEAVENLY HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EVA MIREILLE JACQUES ARNP (PROPRIATOR)
(954) 673-4065
Entity
Organization
Contact information
Practice address
388 SW 163RD AVE, PEMBROKE PINES, FL 33027-1084
(954) 673-4065
Mailing address
388 SW 163RD AVE, PEMBROKE PINES, FL 33027-1084
(954) 673-4065
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
3082172
FL
Other
Enumeration date
03/12/2014
Last updated
08/29/2014
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