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Organization
OASIS WELLNESS CENTER OF FLORIDA, LLC
Active
Organization
OASIS WELLNESS CENTER OF FLORIDA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YELENA INGUANZO LMHC (MANAGER)
(305) 613-5125
Entity
Organization
Contact information
Practice address
4410 W 16TH AVE STE 59, HIALEAH, FL 33012-7194
(305) 824-8559
(305) 824-8561
Mailing address
4410 W 16TH AVE STE 59, HIALEAH, FL 33012-7194
(305) 824-8559
(305) 824-8561
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/25/2018
Last updated
07/25/2018
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