Brea Dunedin Llc

NPI 1043444003 - Alzheimer Center (Dementia Center) - 311500000X

NPI Details
NPI 1043444003
Enumeration Date 05/06/2009
Last Updated 02/17/2015
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name MARK MARK
Position PRESIDENT/CEO
Phone (407) 739-3044
Fax (206) 204-1546
Practice Location
880 PATRICIA AVE
DUNEDIN FL, 34698-4698, US
Phone (407) 739-3044
Fax (206) 204-1546
Business Location
6737 W WASHINGTON ST
SUITE 2300
MILWAUKEE WI, 53214-5647, US
Phone
Fax
Toxanomy
Taxonomy Code 311500000X
License State Florida
License Number AL5104
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According to our database, Brea Dunedin Llc NPI is 1043444003, taxonomy code is 311500000X and license number is AL5104, license state is located at Florida. Brea Dunedin Llc physically located at 880 Patricia Ave, Dunedin FL, 34698-4698. NPI Number 1033115704 has the healthcare provider type.

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1043444003 NPI number is provided on an as is basis without warranty of any kind. 1043444003 is maintained by the National Plan & Provider Enumeration System. The contents of Brea Dunedin Llc are for informational purposes only.