Florida Dbt | |
2627 Ne 203rd St Suite 214 Miami FL 33180-1900 | |
(973) 224-0693 | |
Not Available |
Full Name | Florida Dbt |
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Speciality | Counselor - Mental Health |
Location | 2627 Ne 203rd St, Miami, Florida |
Authorized Official Name and Position | David Ettinger (PRESIDENT) |
Authorized Official Contact | 9732240693 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Florida Dbt 3029 Ne 188th St Apt. 516 Miami FL 33180-2989 Ph: (973) 224-0693 | Florida Dbt 2627 Ne 203rd St Suite 214 Miami FL 33180-1900 Ph: (973) 224-0693 |
NPI Number | 1982059861 |
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Provider Enumeration Date | 04/28/2016 |
Last Update Date | 04/28/2016 |
Identifier | Type | State | Issuer |
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1982059861 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | SW12668 (Florida) | Primary |
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