Organization
QUEVEDO HOME THERAPY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE ANTONIO GARCIA QUEVEDO (ADMINISTRATOR)
(786) 201-2832
Entity
Organization
Contact information
Practice address
11398 W FLAGLER ST STE 109, MIAMI, FL 33174-4200
(786) 201-2832
Mailing address
11398 W FLAGLER ST STE 109, MIAMI, FL 33174-4200
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/15/2021
Last updated
05/15/2021
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