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Organization
PALAZZO MENTAL HEALTH LLC
Active
Organization
PALAZZO MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAVELIS MORALES (AUTHORIZED OFFICIAL)
(305) 705-6840
Entity
Organization
Contact information
Practice address
12540 SW 8TH ST, MIAMI, FL 33184-1412
(305) 705-6840
(786) 655-0185
Mailing address
12540 SW 8TH ST, MIAMI, FL 33184-1412
(305) 705-6840
(786) 655-0185
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
208000000X
Pediatrics Physician
—
—
225X00000X
Occupational Therapist
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Enumeration date
05/16/2023
Last updated
11/08/2024
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