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Organization
MIAMI PSYCHOLOGICAL CENTER PA
Active
Organization
MIAMI PSYCHOLOGICAL CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAQUELINE PARDILLO (OWNER)
(786) 229-6589
Entity
Organization
Contact information
Practice address
1200 N FEDERAL HWY STE 200, BOCA RATON, FL 33432-2813
(305) 721-3128
Mailing address
9796 NW 51ST TER, DORAL, FL 33178-1910
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103K00000X
Behavior Analyst
—
—
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
03/09/2018
Last updated
01/06/2021
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