| Davalos Health Services Llc | |
|
11760 Sw 40th St Ste 335 Miami FL 33175-3595 | |
| (305) 588-7117 | |
| (305) 227-3151 |
| Full Name | Davalos Health Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 11760 Sw 40th St Ste 335, Miami, Florida |
| Authorized Official Name and Position | Roberto S Davalos (OWNER) |
| Authorized Official Contact | 7866191095 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Davalos Health Services Llc 11760 Sw 40th St Ste 335 Miami FL 33175-3595 Ph: (305) 588-7117 | Davalos Health Services Llc 11760 Sw 40th St Ste 335 Miami FL 33175-3595 Ph: (305) 588-7117 |
| NPI Number | 1003371774 |
|---|---|
| Provider Enumeration Date | 02/06/2019 |
| Last Update Date | 02/06/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003371774 | NPI | - | NPPES |
| 020900200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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