Joli Enterprises Of Brevard Llc | |
2880 Grant Rd Grant Valkaria FL 32949-8115 | |
(321) 499-3413 | |
Not Available |
Full Name | Joli Enterprises Of Brevard Llc |
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Speciality | Family Medicine |
Location | 2880 Grant Rd, Grant Valkaria, Florida |
Authorized Official Name and Position | Louise M Menashe (PARTNER) |
Authorized Official Contact | 3214993413 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Joli Enterprises Of Brevard Llc 2880 Grant Rd Grant Valkaria FL 32949-8115 Ph: (321) 499-3413 | Joli Enterprises Of Brevard Llc 2880 Grant Rd Grant Valkaria FL 32949-8115 Ph: (321) 499-3413 |
NPI Number | 1538473509 |
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Provider Enumeration Date | 08/02/2010 |
Last Update Date | 06/16/2016 |
Identifier | Type | State | Issuer |
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1538473509 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | ME0076426 (Florida) | Primary |