Jl Psych Services Pa | |
13168 Sw 188th St Miami FL 33177-3002 | |
(305) 812-8815 | |
Not Available |
Full Name | Jl Psych Services Pa |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 13168 Sw 188th St, Miami, Florida |
Authorized Official Name and Position | Jason Lopez (PRESIDENT) |
Authorized Official Contact | 3058128815 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jl Psych Services Pa 13168 Sw 188th St Miami FL 33177-3002 Ph: (305) 812-8815 | Jl Psych Services Pa 13168 Sw 188th St Miami FL 33177-3002 Ph: (305) 812-8815 |
NPI Number | 1144896077 |
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Provider Enumeration Date | 06/01/2021 |
Last Update Date | 06/01/2021 |
Certification Date | 06/01/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144896077 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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