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Organization

BIG BEAR ACADEMY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSE C. SUAREZ FERNANDEZ (PRESIDENT)
(786) 641-6858
Entity
Organization

Contact information

Practice address
9035 SUNSET DR STE 100, MIAMI, FL 33173-3441
(786) 641-6858
(786) 523-7567
Mailing address
9035 SUNSET DR STE 100, MIAMI, FL 33173-3441
(786) 641-6858
(786) 523-7567

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
3140N1450X
Pediatric Skilled Nursing Facility
Primary
PP29960085
FL

Other

Enumeration date
09/11/2015
Last updated
07/09/2021
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