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Organization

PASITHEA CLINICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TIAGO MARQUES MD (CEO)
(618) 917-3919
Entity
Organization

Contact information

Practice address
1800 SW 1ST AVE STE 603, MIAMI, FL 33129-1181
(305) 807-3133
Mailing address
1111 LINCOLN RD STE 500, MIAMI BEACH, FL 33139-2439
(618) 917-3919

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
09/01/2022
Last updated
09/01/2022
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