Desiree Mantovani, | |
8500 Nw 115th Pl, Doral, FL 33178-2032 | |
(786) 238-1936 | |
Not Available |
Full Name | Desiree Mantovani |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 8500 Nw 115th Pl, Doral, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962187864 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | IMH21256 (Florida) | Primary |
Entity Name | Citrus Health Network, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821138819 PECOS PAC ID: 9931177334 Enrollment ID: O20040923000283 |
Mailing Address | Practice Location Address |
---|---|
Desiree Mantovani, 551 W 51st Pl Ste 407, Hialeah, FL 33012-3601 Ph: () - | Desiree Mantovani, 8500 Nw 115th Pl, Doral, FL 33178-2032 Ph: (786) 238-1936 |
Ramona Watson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8180 Nw 36th St Unit 404, Doral, FL 33166 Phone: 866-305-7365 | |
Diana Guzman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2631 Nw 84th Ave Apt 301, Doral, FL 33122 Phone: 305-922-3995 | |
Olivia Haye, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8180 Nw 36th St Unit 404, Doral, FL 33166 Phone: 866-305-7365 | |
Yenisleydis Galban, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1905 Nw 82nd Ave, Doral, FL 33126 Phone: 786-420-5924 Fax: 786-542-5340 | |
Emeri Lavadie, CBHT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1905 Nw 82nd Ave, Doral, FL 33126 Phone: 305-406-9585 Fax: 305-406-9478 | |
Mickael Gibbs, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8180 Nw 36th St Unit 404, Doral, FL 33166 Phone: 866-305-7365 | |
Kayla Crystal Pickarski, M.S Counselor Medicare: Not Enrolled in Medicare Practice Location: 8180 Nw 36th St Ste 404, Doral, FL 33166 Phone: 786-663-0138 |