| South Broad Health Group Llc | |
|
318 S Broad St New Orleans LA 70119-6416 | |
| (504) 827-5678 | |
| (504) 827-5288 |
| Full Name | South Broad Health Group Llc |
|---|---|
| Speciality | General Practice |
| Location | 318 S Broad St, New Orleans, Louisiana |
| Authorized Official Name and Position | Anelys Perez Quintana (PRESIDENT/OWNER) |
| Authorized Official Contact | 5048275678 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Broad Health Group Llc 318 S Broad St New Orleans LA 70119-6416 Ph: (504) 827-5678 | South Broad Health Group Llc 318 S Broad St New Orleans LA 70119-6416 Ph: (504) 827-5678 |
| NPI Number | 1568608834 |
|---|---|
| Provider Enumeration Date | 12/17/2008 |
| Last Update Date | 12/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568608834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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