Organization
MARTHA BOFILL & ASSOCIATES PSY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTHA BOFILL PSYD (LICENSED PSYCHOLOGIST)
(786) 587-2617
Entity
Organization
Contact information
Practice address
747 PONCE DE LEON BLVD, SUITE 501, CORAL GABLES, FL 33134-2049
(786) 587-2617
(305) 454-0156
Mailing address
747 PONCE DE LEON BLVD, SUITE 501, CORAL GABLES, FL 33134-2049
(786) 587-2617
(305) 454-0156
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY7089
FL
Other
Enumeration date
08/05/2013
Last updated
08/05/2013
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