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2020 Ponce De Leon Blvd Ste 1201 Coral Gables FL 33134-4476 | |
| (305) 917-5414 | |
| (305) 220-1864 |
| Full Name | |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2020 Ponce De Leon Blvd Ste 1201, Coral Gables, Florida |
| Authorized Official Name and Position | Frank R. Perez-verdecia (PRESIDENT) |
| Authorized Official Contact | 3059175414 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2020 Ponce De Leon Blvd Ste 1201 Coral Gables FL 33134-4476 Ph: (305) 917-5414 | 2020 Ponce De Leon Blvd Ste 1201 Coral Gables FL 33134-4476 Ph: (305) 917-5414 |
| NPI Number | 1265616049 |
|---|---|
| Provider Enumeration Date | 12/28/2007 |
| Last Update Date | 08/08/2024 |
| Certification Date | 08/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265616049 | NPI | - | NPPES |
| 688875596 | Medicaid | FL | |
| 017772200 | Medicaid | FL | |
| 688875598 | Medicaid | FL |
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