| Denovo Medical Center Inc | |
|
15495 Eagle Nest Ln Ste 206 Miami Lakes FL 33014-2266 | |
| (305) 414-4029 | |
| Not Available |
| Full Name | Denovo Medical Center Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 15495 Eagle Nest Ln Ste 206, Miami Lakes, Florida |
| Authorized Official Name and Position | Suria Errasti Rodriguez (PRESIDENT) |
| Authorized Official Contact | 7867921285 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Denovo Medical Center Inc 15495 Eagle Nest Ln Ste 206 Miami Lakes FL 33014-2266 Ph: (305) 414-4029 | Denovo Medical Center Inc 15495 Eagle Nest Ln Ste 206 Miami Lakes FL 33014-2266 Ph: (305) 414-4029 |
| NPI Number | 1083203798 |
|---|---|
| Provider Enumeration Date | 01/16/2021 |
| Last Update Date | 01/16/2021 |
| Certification Date | 01/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083203798 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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