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12525 Orange Dr Davie FL 33330-4308 | |
| (954) 439-4333 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 12525 Orange Dr, Davie, Florida |
| Authorized Official Name and Position | Sumaira Jagvani (NP/ OWNER) |
| Authorized Official Contact | 9544394333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
12525 Orange Dr Davie FL 33330-4308 Ph: (954) 439-4333 | 12525 Orange Dr Davie FL 33330-4308 Ph: (954) 439-4333 |
| NPI Number | 1871184168 |
|---|---|
| Provider Enumeration Date | 01/29/2021 |
| Last Update Date | 07/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871184168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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