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Penstar Family Wellness Inc

NPI Registration Record

Provider / OrganizationNPIDate Certified
PENSTAR FAMILY WELLNESS INC10832230852020-07-24
Entity TypeOrganization
Provider OrganizationPENSTAR FAMILY WELLNESS INC
Practice Office Address16666 NE 19TH AVE STE 112
NORTH MIAMI BEA, FL US
Practice Office Telephone9542815022
Mailing Address16666 NE 19TH AVE STE 112
NORTH MIAMI BEACH, FL 331623158 US
Authorized OfficialJENNIFER VILLAREAL, PRESIDENT
9542815022
HPT Codes
CodeLicense NoState
261QM0801X PRIMARY
OPI Codes
Governmental Registrations [CAGE/NCAGE/DUNS]

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