Organization
NIRVANA CLINIC CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELA MANNO (CFO)
(786) 577-0024
Entity
Organization
Contact information
Practice address
8765 SW 165TH AVE STE 105, MIAMI, FL 33193-5832
(786) 577-0024
(786) 773-2234
Mailing address
8765 SW 165TH AVE STE 105, MIAMI, FL 33193-5832
(786) 577-0024
(786) 773-2234
Taxonomy
Speciality
Code
Description
License number
State
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
—
—
Other
Enumeration date
02/07/2023
Last updated
02/07/2023
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