| Reciprocate 1906 Llc. | |
|
18425 Nw 2nd Ave Suite 330 Miami FL 33169-4534 | |
| (305) 916-3960 | |
| Not Available |
| Full Name | Reciprocate 1906 Llc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 18425 Nw 2nd Ave, Miami, Florida |
| Authorized Official Name and Position | Dustin Gallop (CEO/OWNER) |
| Authorized Official Contact | 7863969160 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reciprocate 1906 Llc. 18425 Nw 2nd Ave Suite 330 Miami FL 33169-4534 Ph: () - | Reciprocate 1906 Llc. 18425 Nw 2nd Ave Suite 330 Miami FL 33169-4534 Ph: (305) 916-3960 |
| NPI Number | 1225588239 |
|---|---|
| Provider Enumeration Date | 10/13/2016 |
| Last Update Date | 10/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225588239 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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