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8245 Nw 36th St Unit 3 Doral FL 33166-6601 | |
| (855) 968-7754 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8245 Nw 36th St, Doral, Florida |
| Authorized Official Name and Position | Sonia A Bailey (CEO) |
| Authorized Official Contact | 5103253934 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 25976 Tamarac FL 33320-5976 Ph: () - | 8245 Nw 36th St Unit 3 Doral FL 33166-6601 Ph: (855) 968-7754 |
| NPI Number | 1003276262 |
|---|---|
| Provider Enumeration Date | 03/01/2016 |
| Last Update Date | 03/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003276262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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