Idea Community Llc | |
7855 Nw 12th St Ste 207 Doral FL 33126-1819 | |
(786) 257-6184 | |
Not Available |
Full Name | Idea Community Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 7855 Nw 12th St Ste 207, Doral, Florida |
Authorized Official Name and Position | Legna Rio (OWNER) |
Authorized Official Contact | 7862576184 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Idea Community Llc 7855 Nw 12th St Ste 207 Doral FL 33126-1819 Ph: (786) 257-6184 | Idea Community Llc 7855 Nw 12th St Ste 207 Doral FL 33126-1819 Ph: (786) 257-6184 |
NPI Number | 1558035949 |
---|---|
Provider Enumeration Date | 08/09/2021 |
Last Update Date | 08/09/2021 |
Certification Date | 08/09/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558035949 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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