| Novenna Medical Group Inc | |
|
5979 Nw 151 St Ste 110 Miami Lakes FL 33014-2448 | |
| (786) 762-2973 | |
| Not Available |
| Full Name | Novenna Medical Group Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 5979 Nw 151 St Ste 110, Miami Lakes, Florida |
| Authorized Official Name and Position | Jahzier Arias (OWNER) |
| Authorized Official Contact | 7867622973 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Novenna Medical Group Inc 5979 Nw 151 St Ste 110 Miami Lakes FL 33014-2448 Ph: (786) 762-2973 | Novenna Medical Group Inc 5979 Nw 151 St Ste 110 Miami Lakes FL 33014-2448 Ph: (786) 762-2973 |
| NPI Number | 1114495694 |
|---|---|
| Provider Enumeration Date | 11/02/2018 |
| Last Update Date | 09/01/2021 |
| Certification Date | 09/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114495694 | NPI | - | NPPES |
| HCC11532 | Other | FL | AHCA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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