| Pomelo Pc | |
|
1110 Brickell Ave Ste 400 Miami FL 33131-3135 | |
| (914) 919-9200 | |
| Not Available |
| Full Name | Pomelo Pc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1110 Brickell Ave Ste 400, Miami, Florida |
| Authorized Official Name and Position | Isabelle Von Kohorn (PRESIDENT) |
| Authorized Official Contact | 9149199200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pomelo Pc 4701 Sangamore Rd Ste N100 Bethesda MD 20816-2558 Ph: () - | Pomelo Pc 1110 Brickell Ave Ste 400 Miami FL 33131-3135 Ph: (914) 919-9200 |
| NPI Number | 1376300996 |
|---|---|
| Provider Enumeration Date | 02/29/2024 |
| Last Update Date | 02/29/2024 |
| Certification Date | 02/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376300996 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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