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Organization
SOUTH PEARL CLINICAL CENTER INC.
Active
Organization
SOUTH PEARL CLINICAL CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERNESTO MARTINEZ (CEO)
(786) 370-4260
Entity
Organization
Contact information
Practice address
9010 SW 137TH AVE STE 111A, MIAMI, FL 33186-1437
(786) 370-4260
Mailing address
9010 SW 137TH AVE STE 111A, MIAMI, FL 33186-1437
(786) 370-4260
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
07/21/2022
Last updated
07/21/2022
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