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Organization
WEST REGIONAL CENTER
Active
Organization
WEST REGIONAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISSETTE BORGES (OWNER)
(786) 251-9309
Entity
Organization
Contact information
Practice address
1779 W 37TH ST, BAY 1, HIALEAH, FL 33012-4671
(305) 362-8384
(305) 362-8929
Mailing address
1779 W 37TH ST, BAY 1, HIALEAH, FL 33012-4671
(305) 362-8384
(305) 362-8929
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
HCC3736
FL
Other
Enumeration date
07/03/2006
Last updated
08/22/2020
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