Individual
DAVID MIZRAHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3405 NW 36TH STREET, SUITE 112, VIRGINIA GARDENS, FL 33166
(305) 871-3131
Mailing address
4050 NW 42ND AVE APT 215, LAUDERDALE LAKES, FL 33319-4847
(786) 237-1141
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
IMH19941
FL
Other
Enumeration date
03/11/2021
Last updated
03/11/2021
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