Organization
PONCE & CAMHI CARE SERVICE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YORDAN PONCE (CEO)
(786) 260-3608
Entity
Organization
Contact information
Practice address
7730 NW SOUTH RIVER DR, MEDLEY, FL 33166-2512
(786) 260-3608
Mailing address
7730 NW SOUTH RIVER DR, MEDLEY, FL 33166-2512
(786) 260-3608
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
03/10/2023
Last updated
03/10/2023
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