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1868 Ne 164th St N Miami Beach FL 33162-4110 | |
| (954) 587-1008 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1868 Ne 164th St, N Miami Beach, Florida |
| Authorized Official Name and Position | Jo-ann Prisco (VP OF CONTRACTS) |
| Authorized Official Contact | 7722141010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3800 W Broward Blvd Ste 100 Ft Lauderdale FL 33312-1018 Ph: (954) 587-1008 | 1868 Ne 164th St N Miami Beach FL 33162-4110 Ph: (954) 587-1008 |
| NPI Number | 1891369583 |
|---|---|
| Provider Enumeration Date | 05/17/2021 |
| Last Update Date | 10/12/2021 |
| Certification Date | 10/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891369583 | NPI | - | NPPES |
| 076055202 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Jack R Weitz Phd Pa Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1021 Ives Dairy Rd, Bldg 3 Suite 119, N Miami Beach, FL 33179 Phone: 305-655-2335 Fax: 305-652-5759 | |
Jems Therapy Center Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1117 Ne 163rd St Ste C, N Miami Beach, FL 33162 Phone: 786-505-1617 |