# MIAMI BEACH MOOD AND ADHD THERAPIES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174177554
- **Authorized official:** MAURICIO ENRIQUE RODRIGUEZ MD (PSYCHIATRIST/OWNER)
- **Authorized official phone:** (786) 398-2477

## Contact information

- **Practice address:** 2813 EXECUTIVE PARK DR STE 126, WESTON, FL 33331-3603
- **Practice address phone:** (954) 247-1557
- **Practice address fax:** (786) 633-3688
- **Mailing address:** 2813 EXECUTIVE PARK DR STE 126, WESTON, FL 33331-3603
- **Mailing address phone:** (954) 247-1557
- **Mailing address fax:** (786) 633-3688

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/24/2019
- **Last updated:** 01/20/2025
