Organization
GREEN CROSS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALESSANDRO MORIYON (DIRECTOR)
(786) 239-2051
Entity
Organization
Contact information
Practice address
10511 N KENDALL DR STE D203, MIAMI, FL 33176-1535
(786) 542-0049
(786) 542-0200
Mailing address
10511 N KENDALL DR STE D203, MIAMI, FL 33176-1535
(786) 542-0049
(786) 542-0200
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101919200
—
FL
Enumeration date
07/14/2021
Last updated
07/14/2021
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