Shantelle Moxie, Llc | |
13120 Sw 44th St Miramar FL 33027-3101 | |
(954) 801-2411 | |
Not Available |
Full Name | Shantelle Moxie, Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 13120 Sw 44th St, Miramar, Florida |
Authorized Official Name and Position | Shantelle Moxie (DIRECTOR/THERAPIST) |
Authorized Official Contact | 9548012411 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Shantelle Moxie, Llc 13120 Sw 44th St Miramar FL 33027-3101 Ph: (954) 801-2411 | Shantelle Moxie, Llc 13120 Sw 44th St Miramar FL 33027-3101 Ph: (954) 801-2411 |
NPI Number | 1881209542 |
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Provider Enumeration Date | 09/10/2020 |
Last Update Date | 09/10/2020 |
Certification Date | 09/10/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881209542 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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