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395 Nw 14th Ave Unit 2 Homestead FL 33030-5603 | |
| (305) 240-7368 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 395 Nw 14th Ave Unit 2, Homestead, Florida |
| Authorized Official Name and Position | Nelsaelena Suarez (DIRECTOR) |
| Authorized Official Contact | 3052407368 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
395 Nw 14th Ave Unit 2 Homestead FL 33030-5603 Ph: (305) 240-7368 | 395 Nw 14th Ave Unit 2 Homestead FL 33030-5603 Ph: (305) 240-7368 |
| NPI Number | 1265924989 |
|---|---|
| Provider Enumeration Date | 05/30/2018 |
| Last Update Date | 05/30/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265924989 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Florida) | Primary |
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