| Blue Rainbow Of Autism Llc | |
|
3600 South State Road 7 Ste 7 Suite 229 Miramar FL 33023 | |
| (786) 443-1082 | |
| Not Available |
| Full Name | Blue Rainbow Of Autism Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3600 South State Road 7 Ste 7, Miramar, Florida |
| Authorized Official Name and Position | Yasmary Lopez Lemus (MGR) |
| Authorized Official Contact | 7863554371 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Rainbow Of Autism Llc 8552 Claridge Dr Miramar FL 33025-2849 Ph: (786) 443-1082 | Blue Rainbow Of Autism Llc 3600 South State Road 7 Ste 7 Suite 229 Miramar FL 33023 Ph: (786) 443-1082 |
| NPI Number | 1720831365 |
|---|---|
| Provider Enumeration Date | 04/11/2024 |
| Last Update Date | 05/14/2024 |
| Certification Date | 05/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720831365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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