Organization
RECIPROCATE 1906 LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUSTIN GALLOP (CEO/OWNER)
(786) 396-9160
Entity
Organization
Contact information
Practice address
18425 NW 2ND AVE, SUITE 330, MIAMI, FL 33169-4534
(305) 916-3960
Mailing address
18425 NW 2ND AVE, SUITE 330, MIAMI, FL 33169-4534
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/13/2016
Last updated
10/13/2016
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