Organization
BAMM SERVICES GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARITA MARIA CADAVID DEL VALLE (PRESIDENT)
(786) 586-1045
Entity
Organization
Contact information
Practice address
6373 SW 165TH AVE, MIAMI, FL 33193-4482
(786) 586-1045
Mailing address
6373 SW 165TH AVE, MIAMI, FL 33193-4482
(786) 586-1045
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 9891
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003251100
—
FL
Enumeration date
12/22/2010
Last updated
12/18/2014
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