Sanctuary Clinic of Yahweh, LLC

NPI #1821694282 in Avon Park, Florida

Provider Information

NPI Number: 1821694282
Entity Type: Organization
Organization Name: Sanctuary Clinic of Yahweh, LLC
Primary Specialty: Internal Medicine
Enumeration Date: Dec 9, 2020
Last Updated: Dec 9, 2020

Practice Location

Address: 15 S VERONA AVE
City: Avon Park
State: Florida
ZIP Code: 33825-3913
Phone: (863) 453-3174

Authorized Official

Name: DR. BENITO EDOUARD, MD
Title: PRESIDENT
Phone: (863) 273-1097

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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