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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