Organization
PALAZZO MENTAL HEALTH LLC
Active
Other names
PALAZZO HEALTH CARE CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
CHAVELIS MORALES (PRESIDENT)
(305) 772-6119
Entity
Organization
Contact information
Practice address
12540 SW 8TH ST, MIAMI, FL 33184-1412
(305) 772-6119
Mailing address
12540 SW 8TH ST, MIAMI, FL 33184-1412
(305) 772-6119
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
208D00000X
General Practice Physician
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108980800
—
FL
05
—
112586800
—
FL
05
—
114428700
—
FL
05
—
117416100
—
FL
Enumeration date
12/15/2020
Last updated
01/21/2026
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