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Organization

DAVALOS HEALTH SERVICES LLC

Active
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Organization

DAVALOS HEALTH SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERTO S DAVALOS (OWNER)
(786) 619-1095
Entity
Organization

Contact information

Practice address
11760 SW 40TH ST STE 335, MIAMI, FL 33175-3595
(305) 588-7117
(305) 227-3151
Mailing address
11760 SW 40TH ST STE 335, MIAMI, FL 33175-3595
(305) 588-7117
(305) 227-3151

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
020900200
FL
Enumeration date
02/06/2019
Last updated
02/06/2019
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