| Leoli Enterprise Llc | |
|
2551 Sw 12th St Miami FL 33135-4815 | |
| (305) 905-9833 | |
| Not Available |
| Full Name | Leoli Enterprise Llc |
|---|---|
| Speciality | Behavior Technician |
| Location | 2551 Sw 12th St, Miami, Florida |
| Authorized Official Name and Position | Nicole Delgado (GM) |
| Authorized Official Contact | 3059059833 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leoli Enterprise Llc 2551 Sw 12th St Miami FL 33135-4815 Ph: () - | Leoli Enterprise Llc 2551 Sw 12th St Miami FL 33135-4815 Ph: (305) 905-9833 |
| NPI Number | 1063197218 |
|---|---|
| Provider Enumeration Date | 06/15/2023 |
| Last Update Date | 06/15/2023 |
| Certification Date | 06/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063197218 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
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