Organization
CULTIVATE HEALTH, CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO LUIS MOLINA (AUTHORIZED OFFICIAL)
(786) 271-1584
Entity
Organization
Contact information
Practice address
160 NW 176TH ST STE 207-1, MIAMI GARDENS, FL 33169-5042
(786) 271-1584
Mailing address
160 NW 176TH ST STE 207-1, MIAMI GARDENS, FL 33169-5042
(786) 271-1584
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/19/2024
Last updated
06/19/2024
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