| D And L Community Support Llc | |
|
2400 Sw 137th Ave Miami FL 33175-6311 | |
| (305) 456-0572 | |
| (786) 980-5700 |
| Full Name | D And L Community Support Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2400 Sw 137th Ave, Miami, Florida |
| Authorized Official Name and Position | Dorgis Gonzalez Reinoso (PRESIDENT) |
| Authorized Official Contact | 7864249440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| D And L Community Support Llc 2400 Sw 137th Ave Miami FL 33175-6311 Ph: (305) 456-0572 | D And L Community Support Llc 2400 Sw 137th Ave Miami FL 33175-6311 Ph: (305) 456-0572 |
| NPI Number | 1104596105 |
|---|---|
| Provider Enumeration Date | 09/20/2021 |
| Last Update Date | 12/27/2022 |
| Certification Date | 12/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104596105 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
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