Organization
EMERALD PROFESSIONAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANSELMO FRAGA (OWNER)
(305) 724-1362
Entity
Organization
Contact information
Practice address
5941 NW 173 DR SUITE 6, MIAMI, FL 33015
(305) 724-1362
Mailing address
5941 NW 173 DR SUITE 6, MIAMI, FL 33015
(305) 724-1362
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
MA71425
FL
Other
Enumeration date
04/29/2013
Last updated
04/29/2013
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