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255 E Dania Beach Blvd Suite 228 Dania Beach FL 33004-3083 | |
| (855) 411-4774 | |
| (877) 234-5698 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 255 E Dania Beach Blvd, Dania Beach, Florida |
| Authorized Official Name and Position | Jose R Rojo (CLINICAL DIRECTOR) |
| Authorized Official Contact | 3053320221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
255 E Dania Beach Blvd Suite 228 Dania Beach FL 33004-3083 Ph: (855) 411-4774 | 255 E Dania Beach Blvd Suite 228 Dania Beach FL 33004-3083 Ph: (855) 411-4774 |
| NPI Number | 1952686636 |
|---|---|
| Provider Enumeration Date | 10/13/2011 |
| Last Update Date | 10/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952686636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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