| Carol Mirones Llc | |
|
12505 Orange Dr Ste 908 Davie FL 33330-4300 | |
| (954) 342-0982 | |
| (954) 342-1080 |
| Full Name | Carol Mirones Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 12505 Orange Dr Ste 908, Davie, Florida |
| Authorized Official Name and Position | Carol Lipscomb Mirones (OWNER) |
| Authorized Official Contact | 9543420982 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carol Mirones Llc 12505 Orange Dr Ste 908 Davie FL 33330-4300 Ph: (954) 342-0982 | Carol Mirones Llc 12505 Orange Dr Ste 908 Davie FL 33330-4300 Ph: (954) 342-0982 |
| NPI Number | 1962009092 |
|---|---|
| Provider Enumeration Date | 10/01/2020 |
| Last Update Date | 10/01/2020 |
| Certification Date | 10/01/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962009092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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