| Dtt Coaching Services,llc | |
|
9745 Sw 184th St Palmetto Bay FL 33157-6932 | |
| (786) 701-2401 | |
| (305) 397-1287 |
| Full Name | Dtt Coaching Services,llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 9745 Sw 184th St, Palmetto Bay, Florida |
| Authorized Official Name and Position | Damarys Clement (OWNER/ADMINISTRATOR) |
| Authorized Official Contact | 3053163788 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dtt Coaching Services,llc 9745 Sw 184th St Palmetto Bay FL 33157-6932 Ph: (786) 701-2401 | Dtt Coaching Services,llc 9745 Sw 184th St Palmetto Bay FL 33157-6932 Ph: (786) 701-2401 |
| NPI Number | 1396152625 |
|---|---|
| Provider Enumeration Date | 07/18/2014 |
| Last Update Date | 12/26/2023 |
| Certification Date | 07/21/2021 |
| Medicare PECOS PAC ID | 8729316534 |
|---|---|
| Medicare Enrollment ID | O20190816003110 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396152625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Julio C Castro Gayol |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083871784 PECOS PAC ID: 0345436895 Enrollment ID: I20120120000256 |
| Provider Name | Roberto Sanchez Ortega |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205248234 PECOS PAC ID: 6103259288 Enrollment ID: I20191203002540 |
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