Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgery, Foot |
213ES0131X | 48 | Podiatry |
| NPI # | 1285018986 |
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| LBN Legal business name | PLATINUM HEALTH CENTER | ||||
| Authorized official | DONENIC SIGNORELLI - (OWNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 07/13/2015 | ||||
| Last updated | 06/08/2018 - About 8 years ago | ||||
| Identifiers |
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