Individual
DISMEY SOSA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12540 SW 8TH ST, MIAMI, FL 33184-1412
(786) 301-4073
Mailing address
12540 SW 8TH ST, MIAMI, FL 33184-1412
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126816500
—
FL
01
—
CBHCMS0102768
FCB
FL
Enumeration date
05/15/2025
Last updated
06/03/2025
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