| Sanctuary Clinic Of Yahweh, Llc | |
|
15 S Verona Ave Avon Park FL 33825-3913 | |
| (863) 453-3174 | |
| Not Available |
| Full Name | Sanctuary Clinic Of Yahweh, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 15 S Verona Ave, Avon Park, Florida |
| Authorized Official Name and Position | Benito Edouard (PRESIDENT) |
| Authorized Official Contact | 8632731097 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sanctuary Clinic Of Yahweh, Llc 15 S Verona Ave Avon Park FL 33825-3913 Ph: (863) 453-3174 | Sanctuary Clinic Of Yahweh, Llc 15 S Verona Ave Avon Park FL 33825-3913 Ph: (863) 453-3174 |
| NPI Number | 1821694282 |
|---|---|
| Provider Enumeration Date | 12/09/2020 |
| Last Update Date | 12/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821694282 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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