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Organization
VIRTUAL MD INC
Active
Organization
VIRTUAL MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIBEL LEON (PRESIDENT)
(786) 413-8980
Entity
Organization
Contact information
Practice address
17720 NW 14TH AVE, MIAMI, FL 33169-4630
(786) 413-8980
Mailing address
17720 NW 14TH AVE, MIAMI, FL 33169-4630
(786) 413-8980
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
NULL
103K00000X
Behavior Analyst
—
—
106E00000X
Assistant Behavior Analyst
—
NULL
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
NULL
106S00000X
Behavior Technician
—
—
251S00000X
Community/Behavioral Health Agency
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/09/2021
Last updated
01/11/2021
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