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Organization

SOFLO BEHAVIORAL HEALTH LLC

Active
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Organization

SOFLO BEHAVIORAL HEALTH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LESLIE G BRAVO (CEO)
(954) 297-9802
Entity
Organization

Contact information

Practice address
306 W MANGO ST STE A, LANTANA, FL 33462-2835
(954) 297-9802
(561) 431-5873
Mailing address
306 W MANGO ST STE A, LANTANA, FL 33462-2835
(954) 297-9802
(561) 431-5873

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QM0850X
Adult Mental Health Clinic/Center

Other

Enumeration date
06/22/2022
Last updated
12/31/2025
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