Organization
BRIDGE OF CARE LLC
Active
Organization
BRIDGE OF CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAIN PEREZ HERNANDEZ CBHCMS (DIRECTOR)
(786) 368-1112
Entity
Organization
Contact information
Practice address
11401 SW 40TH ST STE 345, MIAMI, FL 33165-3372
(305) 603-7063
(305) 603-8705
Mailing address
11401 SW 40TH ST STE 345, MIAMI, FL 33165-3372
(305) 603-7063
(305) 603-8705
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101485600
—
FL
Enumeration date
08/03/2017
Last updated
08/05/2021
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