| Psyche Harmony Group, Llc. | |
|
2100 Ponce De Leon Blvd Ste 1240 Coral Gables FL 33134-5215 | |
| (305) 987-1007 | |
| Not Available |
| Full Name | Psyche Harmony Group, Llc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2100 Ponce De Leon Blvd Ste 1240, Coral Gables, Florida |
| Authorized Official Name and Position | Manuel D. Gonzalez (MD) |
| Authorized Official Contact | 3059871007 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psyche Harmony Group, Llc. 2100 Ponce De Leon Blvd Ste 1240 Coral Gables FL 33134-5215 Ph: (305) 987-1007 | Psyche Harmony Group, Llc. 2100 Ponce De Leon Blvd Ste 1240 Coral Gables FL 33134-5215 Ph: (305) 987-1007 |
| NPI Number | 1336902386 |
|---|---|
| Provider Enumeration Date | 02/02/2024 |
| Last Update Date | 10/15/2024 |
| Medicare PECOS PAC ID | 7315387081 |
|---|---|
| Medicare Enrollment ID | O20240429000550 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336902386 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Manuel D Gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356584361 PECOS PAC ID: 8527104249 Enrollment ID: I20091012000157 |
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