Organization
SOUTH FLORIDA EARLY INTERVENTION INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INGRID ROMAN PSYD (MGR)
(786) 205-1741
Entity
Organization
Contact information
Practice address
1550 MADRUGA AVE, SUITE 332, CORAL GABLES, FL 33146-3039
(786) 205-1741
Mailing address
1550 MADRUGA AVE, SUITE 332, CORAL GABLES, FL 33146-3039
(786) 205-1741
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PY8212
LICENSE
FL
01
—
PY8783
LICENSE
FL
Enumeration date
03/05/2014
Last updated
03/05/2014
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