| Miami-dade Targeted Case Management, Corp | |
|
175 Fontainebleau Blvd Ste 1r12 Miami FL 33172-4511 | |
| (305) 389-0709 | |
| Not Available |
| Full Name | Miami-dade Targeted Case Management, Corp |
|---|---|
| Speciality | Social Worker |
| Location | 175 Fontainebleau Blvd Ste 1r12, Miami, Florida |
| Authorized Official Name and Position | Jorge L Gonzalez (OWNER) |
| Authorized Official Contact | 3053890709 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Miami-dade Targeted Case Management, Corp 175 Fontainebleau Blvd Ste 1r12 Miami FL 33172-4511 Ph: (305) 389-0709 | Miami-dade Targeted Case Management, Corp 175 Fontainebleau Blvd Ste 1r12 Miami FL 33172-4511 Ph: (305) 389-0709 |
| NPI Number | 1699140939 |
|---|---|
| Provider Enumeration Date | 12/12/2015 |
| Last Update Date | 12/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699140939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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