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299 Alhambra Cir Ste 224 Coral Gables FL 33134-5116 | |
| (305) 665-2540 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 299 Alhambra Cir Ste 224, Coral Gables, Florida |
| Authorized Official Name and Position | Kathryn Ann Coppola (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3056652540 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
299 Alhambra Cir Ste 224 Coral Gables FL 33134-5116 Ph: (305) 665-2540 | 299 Alhambra Cir Ste 224 Coral Gables FL 33134-5116 Ph: (305) 665-2540 |
| NPI Number | 1336644780 |
|---|---|
| Provider Enumeration Date | 03/28/2018 |
| Last Update Date | 03/28/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336644780 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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