| Ipp | |
|
17501 Biscayne Blvd Aventura FL 33160-4809 | |
| (305) 573-6333 | |
| (305) 573-6888 |
| Full Name | Ipp |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 17501 Biscayne Blvd, Aventura, Florida |
| Authorized Official Name and Position | Mario B Costa (VICE-PRESIDENT) |
| Authorized Official Contact | 3055736333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ipp 17501 Biscayne Blvd Aventura FL 33160-4809 Ph: (305) 573-6333 | Ipp 17501 Biscayne Blvd Aventura FL 33160-4809 Ph: (305) 573-6333 |
| NPI Number | 1487619037 |
|---|---|
| Provider Enumeration Date | 04/18/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487619037 | NPI | - | NPPES |
| 6745806968 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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