Psychiatric Equilibrium Inc | |
6141 Sunset Dr Ste 130a South Miami FL 33143-5028 | |
(786) 318-6822 | |
Not Available |
Full Name | Psychiatric Equilibrium Inc |
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Speciality | Clinic/Center |
Location | 6141 Sunset Dr Ste 130a, South Miami, Florida |
Authorized Official Name and Position | Kenia Montero (PRESIDENT) |
Authorized Official Contact | 7863186822 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Psychiatric Equilibrium Inc 6141 Sunset Dr Ste 130a South Miami FL 33143-5028 Ph: (786) 318-6822 | Psychiatric Equilibrium Inc 6141 Sunset Dr Ste 130a South Miami FL 33143-5028 Ph: (786) 318-6822 |
NPI Number | 1669259537 |
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Provider Enumeration Date | 09/13/2023 |
Last Update Date | 10/24/2023 |
Certification Date | 10/24/2023 |
Medicare PECOS PAC ID | 7012352271 |
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Medicare Enrollment ID | O20240227002890 |
Identifier | Type | State | Issuer |
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1669259537 | NPI | - | NPPES |
Provider Name | Kenia Montero |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134722127 PECOS PAC ID: 4284081225 Enrollment ID: I20231113001537 |
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