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Organization

FAMWELL HEALING CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. AILEEN NUNEZ M.S. (DIRECTOR/OWNER)
(305) 275-0999
Entity
Organization

Contact information

Practice address
11160 SW 88TH ST, SUITE 100, MIAMI, FL 33176-0949
(305) 275-0999
(305) 275-3030
Mailing address
11160 SW 88TH ST, SUITE 100, MIAMI, FL 33176-0949
(305) 275-0999
(305) 275-3030

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
IMT490
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
$$$$$$$$$
SSN
FL
Enumeration date
06/25/2013
Last updated
05/21/2020
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