| Rainbow Miracles Llc | |
|
9429 Us Highway 301 S Riverview FL 33578-5440 | |
| (786) 237-7769 | |
| Not Available |
| Full Name | Rainbow Miracles Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 9429 Us Highway 301 S, Riverview, Florida |
| Authorized Official Name and Position | Ismael Boch Berrillo (PRESIDENT) |
| Authorized Official Contact | 7862377769 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rainbow Miracles Llc 9429 Us Highway 301 S Riverview FL 33578-5440 Ph: (786) 237-7769 | Rainbow Miracles Llc 9429 Us Highway 301 S Riverview FL 33578-5440 Ph: (786) 237-7769 |
| NPI Number | 1679398184 |
|---|---|
| Provider Enumeration Date | 11/19/2024 |
| Last Update Date | 12/14/2024 |
| Certification Date | 12/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679398184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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