Organization
VICTORY BRT CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADOLFO L NUNEZ RODRIGUEZ (OWNER)
(786) 773-3393
Entity
Organization
Contact information
Practice address
2101 W 76TH ST, HIALEAH, FL 33016-1834
(786) 615-4083
Mailing address
2101 W 76TH ST, HIALEAH, FL 33016-1834
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/12/2021
Last updated
10/15/2021
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