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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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