Providence Services Group Inc

NPI 1053407924 - Internal Medicine - 207R00000X

NPI Details
NPI 1053407924
Enumeration Date 10/05/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MARIA MARIA
Position PRESIDENT
Phone (305) 219-8593
Fax
Practice Location
2328 LUDLAM RD
MIAMI FL, 33155-1846, US
Phone (305) 219-8593
Fax
Business Location
2328 LUDLAM RD
MIAMI FL, 33155-1846, US
Phone (305) 219-8593
Fax
Toxanomy
Taxonomy Code 207R00000X
License State
License Number
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According to our database, Providence Services Group Inc NPI is 1053407924, taxonomy code is 207R00000X Providence Services Group Inc physically located at 2328 Ludlam Rd, Miami FL, 33155-1846. NPI Number 1033115704 has the healthcare provider type.

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1053407924 NPI number is provided on an as is basis without warranty of any kind. 1053407924 is maintained by the National Plan & Provider Enumeration System. The contents of Providence Services Group Inc are for informational purposes only.