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11851 Sw 235th St Homestead FL 33032-6028 | |
| (786) 953-3599 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Social Worker |
| Location | 11851 Sw 235th St, Homestead, Florida |
| Authorized Official Name and Position | Yosvel Diaz-amaran (PRESIDENT) |
| Authorized Official Contact | 7869533599 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
11055 Sw 186th St Ste 203 Cutler Bay FL 33157-6842 Ph: (305) 964-5263 | 11851 Sw 235th St Homestead FL 33032-6028 Ph: (786) 953-3599 |
| NPI Number | 1326672254 |
|---|---|
| Provider Enumeration Date | 02/29/2020 |
| Last Update Date | 03/23/2022 |
| Certification Date | 03/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326672254 | NPI | - | NPPES |
| 019968300 | Medicaid | FL | |
| SW19604 | Other | FL | LCSW |
| ISW14441 | Other | FL | REGISTERED CLINICAL SOCIAL WORKER INTERN |
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