Individual
MAYDELIS AVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5590 W 20TH AVE STE 404, HIALEAH, FL 33016-7062
(786) 344-1199
Mailing address
5590 W 20TH AVE STE 404, HIALEAH, FL 33016-7062
(786) 344-1199
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/15/2021
Last updated
02/16/2021
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