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8431 Nw 38th St Pembroke Pines FL 33024-5235 | |
(954) 204-0632 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Community Health |
Location | 8431 Nw 38th St, Pembroke Pines, Florida |
Authorized Official Name and Position | Leighton Ricardo Lugg (PHARMACIST) |
Authorized Official Contact | 9542040632 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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8431 Nw 38th St Pembroke Pines FL 33024-5235 Ph: (954) 204-0632 | 8431 Nw 38th St Pembroke Pines FL 33024-5235 Ph: (954) 204-0632 |
NPI Number | 1023428844 |
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Provider Enumeration Date | 05/01/2014 |
Last Update Date | 05/01/2014 |
Identifier | Type | State | Issuer |
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1023428844 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QC1500X | Clinic/center - Community Health | PS41976 (Florida) | Primary |
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