| Future Smiles Child Center Llc | |
|
1414 Nw 107th Ave Suite 204 Sweetwater FL 33172 | |
| (305) 225-8711 | |
| (305) 225-8707 |
| Full Name | Future Smiles Child Center Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1414 Nw 107th Ave Suite 204, Sweetwater, Florida |
| Authorized Official Name and Position | Manuel Salvador Buelga Garcia (BCBA/OWNER) |
| Authorized Official Contact | 7867125027 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Future Smiles Child Center Llc 1414 Nw 107th Ave Suite 204 Sweetwater FL 33172 Ph: (305) 225-8711 | Future Smiles Child Center Llc 1414 Nw 107th Ave Suite 204 Sweetwater FL 33172 Ph: (305) 225-8711 |
| NPI Number | 1194240184 |
|---|---|
| Provider Enumeration Date | 08/10/2017 |
| Last Update Date | 10/06/2022 |
| Certification Date | 10/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194240184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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