| Providence Health Center Llc | |
|
1736 E Commercial Blvd Oakland Park FL 33334-5721 | |
| (954) 267-9696 | |
| Not Available |
| Full Name | Providence Health Center Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1736 E Commercial Blvd, Oakland Park, Florida |
| Authorized Official Name and Position | Guerlyne Desir (OWNER) |
| Authorized Official Contact | 9542679696 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Health Center Llc 1736 E Commercial Blvd Oakland Park FL 33334-5721 Ph: (954) 267-9696 | Providence Health Center Llc 1736 E Commercial Blvd Oakland Park FL 33334-5721 Ph: (954) 267-9696 |
| NPI Number | 1851875819 |
|---|---|
| Provider Enumeration Date | 09/17/2018 |
| Last Update Date | 09/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851875819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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