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Organization

CORAL WAY HEALTH CENTER CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GISELLE L GARCIA LMHC (PRESIDENT)
(305) 392-1274
Entity
Organization

Contact information

Practice address
12855 SW 132ND ST STE 207A, MIAMI, FL 33186-7207
(305) 608-5572
(786) 250-5094
Mailing address
9159 SW 87TH AVE, MIAMI, FL 33176-2302
(305) 392-1274
(786) 953-5752

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
HCC12527
AHCA
FL
Enumeration date
03/27/2021
Last updated
10/02/2024
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