Organization
DOCTOR MENTAL CORP
Active
Organization
DOCTOR MENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDUARDO J ANZOLA LUCENA (AUTHORIZED OFFICAL)
(786) 832-1388
Entity
Organization
Contact information
Practice address
1801 CORAL WAY STE 315, MIAMI, FL 33145-2784
(786) 525-3887
Mailing address
1801 CORAL WAY STE 315, MIAMI, FL 33145-2784
(786) 525-3887
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/28/2021
Last updated
06/28/2021
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