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Organization
MENTAL HEALTH OF FLORIDA LLC
Active
Organization
MENTAL HEALTH OF FLORIDA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAYDONIS FERNANDEZ BCBA (OWNER/ANALYST)
(305) 308-4696
Entity
Organization
Contact information
Practice address
6955 NW 77TH AVE STE 205, MIAMI, FL 33166-2845
(305) 308-4696
Mailing address
6955 NW 77TH AVE STE 205, MIAMI, FL 33166-2845
(305) 308-4696
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022096600
—
FL
Enumeration date
08/22/2017
Last updated
07/21/2022
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