| Refresh And Renew | |
|
11700 Sw 113th Pl Miami FL 33176-3823 | |
| (305) 984-9073 | |
| Not Available |
| Full Name | Refresh And Renew |
|---|---|
| Speciality | Social Worker |
| Location | 11700 Sw 113th Pl, Miami, Florida |
| Authorized Official Name and Position | Michelle Del Del Toral Suarez (PRESIDENT) |
| Authorized Official Contact | 3059849073 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Refresh And Renew 11700 Sw 113th Pl Miami FL 33176-3823 Ph: (305) 984-9073 | Refresh And Renew 11700 Sw 113th Pl Miami FL 33176-3823 Ph: (305) 984-9073 |
| NPI Number | 1679224513 |
|---|---|
| Provider Enumeration Date | 01/12/2022 |
| Last Update Date | 04/12/2023 |
| Certification Date | 04/12/2023 |
| Medicare PECOS PAC ID | 9133582794 |
|---|---|
| Medicare Enrollment ID | O20230829004408 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679224513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Michelle Del Toral Suarez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376859025 PECOS PAC ID: 7113103516 Enrollment ID: I20110519000594 |
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