| Dpu - Psychiatric | |
|
2500 Sw 75th Ave Miami FL 33155-2805 | |
| (305) 264-5252 | |
| (305) 267-6920 |
| Full Name | Dpu - Psychiatric |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 2500 Sw 75th Ave, Miami, Florida |
| Authorized Official Name and Position | Erika Ledezma (CFO) |
| Authorized Official Contact | 3052645252 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dpu - Psychiatric 2500 Sw 75th Ave Miami FL 33155-2805 Ph: (305) 264-5252 | Dpu - Psychiatric 2500 Sw 75th Ave Miami FL 33155-2805 Ph: (305) 264-5252 |
| NPI Number | 1831616366 |
|---|---|
| Provider Enumeration Date | 08/25/2017 |
| Last Update Date | 07/21/2022 |
| Certification Date | 01/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831616366 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 4068 (Florida) | Primary |
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