| South Florida Early Intervention Institute Llc | |
|
1550 Madruga Ave Suite 332 Coral Gables FL 33146-3039 | |
| (786) 205-1741 | |
| Not Available |
| Full Name | South Florida Early Intervention Institute Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1550 Madruga Ave, Coral Gables, Florida |
| Authorized Official Name and Position | Ingrid Roman (MGR) |
| Authorized Official Contact | 7862051741 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Florida Early Intervention Institute Llc 1550 Madruga Ave Suite 332 Coral Gables FL 33146-3039 Ph: (786) 205-1741 | South Florida Early Intervention Institute Llc 1550 Madruga Ave Suite 332 Coral Gables FL 33146-3039 Ph: (786) 205-1741 |
| NPI Number | 1063838704 |
|---|---|
| Provider Enumeration Date | 03/05/2014 |
| Last Update Date | 03/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063838704 | NPI | - | NPPES |
| PY8212 | Other | FL | LICENSE |
| PY8783 | Other | FL | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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