NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1336493337
THE PLAZA AT PEMBROKE PARK
3535 SW 52ND AVE
MIAMI
FL
330235420
1659715027
NIC 4 THE PLAZA LEASING LLC
PO BOX 1700, NIC 4 THE PLAZA LEASING LLC
LAKE OSWEGO
OR
97035
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