| Equilibrium Mental Health Services Llc | |
|
12750 Sw 128th St Miami FL 33186-5379 | |
| (786) 664-7319 | |
| Not Available |
| Full Name | Equilibrium Mental Health Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 12750 Sw 128th St, Miami, Florida |
| Authorized Official Name and Position | Robert Morales Gainza (PRESIDENT) |
| Authorized Official Contact | 7865566625 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Equilibrium Mental Health Services Llc 12750 Sw 128th St Miami FL 33186-5379 Ph: (786) 664-7319 | Equilibrium Mental Health Services Llc 12750 Sw 128th St Miami FL 33186-5379 Ph: (786) 664-7319 |
| NPI Number | 1396448205 |
|---|---|
| Provider Enumeration Date | 03/22/2023 |
| Last Update Date | 03/22/2023 |
| Certification Date | 03/22/2023 |
| Medicare PECOS PAC ID | 6204282759 |
|---|---|
| Medicare Enrollment ID | O20231019003000 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396448205 | NPI | - | NPPES |
| Provider Name | Robert R Morales Gainza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184212276 PECOS PAC ID: 7315312675 Enrollment ID: I20230420000082 |
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