Granito De Moztaza Inc | |
944 Sw 68th Ave Apt 4 Miami FL 33144-4745 | |
(786) 474-1368 | |
Not Available |
Full Name | Granito De Moztaza Inc |
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Speciality | Behavior Technician |
Location | 944 Sw 68th Ave Apt 4, Miami, Florida |
Authorized Official Name and Position | Ines M Perez (PRESIDENT) |
Authorized Official Contact | 7864741368 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Granito De Moztaza Inc 944 Sw 68th Ave Apt 4 Miami FL 33144-4745 Ph: () - | Granito De Moztaza Inc 944 Sw 68th Ave Apt 4 Miami FL 33144-4745 Ph: (786) 474-1368 |
NPI Number | 1245988005 |
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Provider Enumeration Date | 03/11/2022 |
Last Update Date | 03/11/2022 |
Certification Date | 03/11/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245988005 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106S00000X | Behavior Technician | (* (Not Available)) | Primary |
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