| Divine Options, Corp. | |
|
56 Truman Dr Weston FL 33326-3111 | |
| (305) 785-3422 | |
| Not Available |
| Full Name | Divine Options, Corp. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 56 Truman Dr, Weston, Florida |
| Authorized Official Name and Position | Evelyn Maria Barrera (PRESIDENT) |
| Authorized Official Contact | 3057853422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Divine Options, Corp. 56 Truman Dr Weston FL 33326-3111 Ph: (305) 785-3422 | Divine Options, Corp. 56 Truman Dr Weston FL 33326-3111 Ph: (305) 785-3422 |
| NPI Number | 1013367598 |
|---|---|
| Provider Enumeration Date | 06/15/2016 |
| Last Update Date | 06/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013367598 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | SS00000575 (Florida) | Primary |
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