Organization
FAMILY PRESERVATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICARDO SANTIAGO (CLINICAL DIRECTOR)
(561) 683-4778
Entity
Organization
Contact information
Practice address
2051 MARTIN LUTHER KING BLVD., RIVIERA BEACH, FL 33404
(561) 683-4778
(561) 683-9995
Mailing address
2051 MARTIN LUTHER KING JR BLVD, RIVIERA BEACH, FL 33404-7004
(561) 683-4778
(561) 683-9995
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
302R00000X
FL
Other
Enumeration date
01/24/2011
Last updated
01/24/2011
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