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Organization
DYNAMIC POTENTIAL, L.C.
Active
Organization
DYNAMIC POTENTIAL, L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIETH ALLEN MITCHELL D. MIN. (DIRECTOR)
(305) 662-2173
Entity
Organization
Contact information
Practice address
1550 MADRUGA AVE, SUITE 331, CORAL GABLES, FL 33146-3039
(305) 662-2173
(305) 662-2668
Mailing address
1550 MADRUGA AVENUE, SUITE 331, CORAL GABLES, FL 33146-3071
(305) 662-2173
(305) 662-2668
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH1964
FL
Other
Enumeration date
02/28/2008
Last updated
02/28/2008
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