Organization
GREEN CROSS CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALESSANDRO MORIYON (DIRECTOR)
(305) 910-7011
Entity
Organization
Contact information
Practice address
950 N KROME AVE STE 405, HOMESTEAD, FL 33030-4443
(305) 557-3444
(305) 557-3445
Mailing address
950 N KROME AVE STE 405, HOMESTEAD, FL 33030-4443
(305) 557-3444
(305) 557-3445
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018864901
—
FL
Enumeration date
07/14/2021
Last updated
07/14/2021
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