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Street Address

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4747 NORTH OCEAN DRIVE SUITE 261
FORT LAUDERDALE, FL 33308
Phone: (954) 545-4922
County: Broward

Mailing Address

4747 NORTH OCEAN DRIVE SUITE 261
FORT LAUDERDALE, FL 33308
County: Broward

Emergency Actions:

None
Facility/Provider Type: Health Care Clinic Exemption
Owner/Licensee Since: 10/25/2010
AHCA Number (File Number): 8998
AHCA Field Office: 10
Exemption Number: 8655
Current License Effective: 6/21/2011



Attn Providers: Requests for changes in data must be sent in writing to the AHCA licensing office.
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