Organization
MIAMI PERSONAL BEHAVIORAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YADIRA AMARAL (MEMBER)
(305) 305-4025
Entity
Organization
Contact information
Practice address
3611 SW 107TH AVE, MIAMI, FL 33165-3636
(305) 223-2618
Mailing address
3611 SW 107TH AVE, MIAMI, FL 33165-3636
(305) 223-2618
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003156900
—
FL
Enumeration date
02/24/2017
Last updated
02/17/2022
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