| |
1475 Nw 14th Ave, Miami, FL 33125-1616 | |
(305) 325-0470 | |
(786) 422-1005 |
Full Name | |
---|---|
Type | Facility |
Speciality | Early Intervention Provider Agency |
Location | 1475 Nw 14th Ave, Miami, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235203035 | NPI | - | NPPES |
880264500 | Medicaid | FL |
Mailing Address | Practice Location Address |
---|---|
1475 Nw 14th Ave., Miami, FL 33125 Ph: (305) 325-0470 | 1475 Nw 14th Ave, Miami, FL 33125-1616 Ph: (305) 325-0470 |