| Brave Kids Ppec Llc | |
|
10168 W Sample Rd Coral Springs FL 33065-3938 | |
| (754) 529-8265 | |
| (754) 529-8256 |
| Full Name | Brave Kids Ppec Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 10168 W Sample Rd, Coral Springs, Florida |
| Authorized Official Name and Position | Angie Lisset Mendoza Castillo (ADMINISTRATOR) |
| Authorized Official Contact | 7545298265 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brave Kids Ppec Llc 10168 W Sample Rd Coral Springs FL 33065-3938 Ph: (754) 529-8265 | Brave Kids Ppec Llc 10168 W Sample Rd Coral Springs FL 33065-3938 Ph: (754) 529-8265 |
| NPI Number | 1174377568 |
|---|---|
| Provider Enumeration Date | 04/12/2024 |
| Last Update Date | 04/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174377568 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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