Organization
PRIMARY CARE AND EDUCATIONAL CENTER OF MIAMI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDDY MARCIAL ARNP (PRESIDENT)
(786) 290-9192
Entity
Organization
Contact information
Practice address
13205 SW 137TH AVE STE 232-233, MIAMI, FL 33186-5331
(786) 290-9192
(800) 603-8893
Mailing address
13205 SW 137TH AVE # 224-225, MIAMI, FL 33186-5331
(786) 290-9192
(786) 603-8893
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QH0100X
Health Service Clinic/Center
ARNP9231287
FL
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
ARNP9231287
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016803600
—
FL
01
—
1174995609
NPI
FL
01
—
1841694221
NPI (PERSONAL)
FL
Enumeration date
10/23/2015
Last updated
04/30/2024
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