Organization
MIRABAL RECOVERY CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS MIRABAL (ADMINISTRATOR)
(786) 298-6595
Entity
Organization
Contact information
Practice address
3625 NW 82ND AVE STE 100LL, DORAL, FL 33166-6652
(786) 298-6595
Mailing address
3625 NW 82ND AVE STE 100LL, DORAL, FL 33166-6652
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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