Organization
AGAPE HEALTH PROVIDER LLC
Active
Other names
AGAPE HEALTH PROVIDER LLC
Organization subpart
No
Provider details
NPI number
Authorized official
RAFAEL I VALENZUELA JARAMILLO (OWNER)
(305) 434-0526
Entity
Organization
Contact information
Practice address
7171 CORAL WAY STE 404, MIAMI, FL 33155-1693
(305) 434-0526
Mailing address
7171 CORAL WAY STE 404, MIAMI, FL 33155-1693
(305) 434-0526
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
07/20/2021
Last updated
09/13/2021
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