Organization
DISTINCTIVELY ABLED, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANINE FERNANDEZ M.S.ED., ITDS (OWNER)
(305) 542-4442
Entity
Organization
Contact information
Practice address
7264 SW 122ND PL, MIAMI, FL 33183-3606
(305) 542-4442
Mailing address
7264 SW 122ND PL, MIAMI, FL 33183-3606
(305) 542-4442
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
04/12/2013
Last updated
04/12/2013
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