Organization
SUPERNEURONS LLC
Active
Organization
SUPERNEURONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENESIS GARCIA (CEO)
(786) 482-3819
Entity
Organization
Contact information
Practice address
3240 W 70TH ST UNIT 118, HIALEAH, FL 33018-7108
(786) 482-3819
Mailing address
3240 W 70TH ST UNIT 118, HIALEAH, FL 33018-7108
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/07/2022
Last updated
12/07/2022
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