Jesus Tormo Jr, | |
22790 Sw 112th Ave, Miami, FL 33170-7602 | |
(305) 235-2616 | |
(305) 235-6178 |
Full Name | Jesus Tormo Jr |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 22790 Sw 112th Ave, Miami, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104207307 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Agape Network, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326191156 PECOS PAC ID: 5799817094 Enrollment ID: O20100722000425 |
Mailing Address | Practice Location Address |
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Jesus Tormo Jr, 6100 Blue Lagoon Dr, Suite 400, Miami, FL 33126-2079 Ph: (305) 398-6100 | Jesus Tormo Jr, 22790 Sw 112th Ave, Miami, FL 33170-7602 Ph: (305) 235-2616 |
Mr. Richard Leigh Barr, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13550 Sw 88th St, Suite 280, Miami, FL 33186 Phone: 305-282-1301 | |
Adia Smith Young, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 15715 S Dixie Hwy, Suite 307, Miami, FL 33157 Phone: 786-269-3728 Fax: 786-245-7202 | |
Anthony Hightower, HS Counselor Medicare: Not Enrolled in Medicare Practice Location: 140 Nw 59th St, Miami, FL 33127 Phone: 305-759-8888 Fax: 305-757-5989 | |
Audrey D Mcfarland, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7392 Nw 35th Ter, Ste 201-202, Miami, FL 33122 Phone: 305-597-9494 | |
Miss Matilde Zuluaga, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 2682 Sw 87th Ave, Miami, FL 33165 Phone: 305-480-5680 | |
Miss Jennifer Harrison, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1695 Nw 9th Ave, 2416, Miami, FL 33136 Phone: 305-355-8059 Fax: 305-355-8091 | |
Maria O Hernandez, MS Counselor Medicare: Medicare Enrolled Practice Location: 22790 Sw 112th Ave, Miami, FL 33170 Phone: 305-235-2616 Fax: 305-235-6178 |