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225 Ne 34th St Suite 211 Miami FL 33137-3800 | |
| (305) 572-0066 | |
| (866) 621-0340 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 225 Ne 34th St, Miami, Florida |
| Authorized Official Name and Position | Jose R Rojo (PRESIDENT/CEO) |
| Authorized Official Contact | 3055720066 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
225 Ne 34th St Suite 211 Miami FL 33137-3800 Ph: (305) 572-0066 | 225 Ne 34th St Suite 211 Miami FL 33137-3800 Ph: (305) 572-0066 |
| NPI Number | 1275775181 |
|---|---|
| Provider Enumeration Date | 03/24/2009 |
| Last Update Date | 09/20/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275775181 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | HCC7406 (Florida) | Primary |
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