| Denali Crt, Llc | |
|
10200 Nw 25th St Ste 205 Doral FL 33172-5922 | |
| (305) 602-0268 | |
| (954) 477-7706 |
| Full Name | Denali Crt, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 10200 Nw 25th St Ste 205, Doral, Florida |
| Authorized Official Name and Position | Karina Victoria Gomez (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3056028074 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Denali Crt, Llc 10200 Nw 25th St Ste 205 Doral FL 33172-5922 Ph: (305) 602-0268 | Denali Crt, Llc 10200 Nw 25th St Ste 205 Doral FL 33172-5922 Ph: (305) 602-0268 |
| NPI Number | 1326480872 |
|---|---|
| Provider Enumeration Date | 07/25/2013 |
| Last Update Date | 08/19/2024 |
| Certification Date | 08/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326480872 | NPI | - | NPPES |
| 017511700 | Medicaid | FL | |
| 693385896 | Medicaid | FL |
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