Organization
ACT FLORIDA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. YAIMARA SANCHEZ CABALLERO (MANAGER)
(786) 306-0505
Entity
Organization
Contact information
Practice address
12505 ORANGE DR STE 908, DAVIE, FL 33330-4300
(786) 306-0505
Mailing address
2413 MAIN ST # 326, MIRAMAR, FL 33025-7809
(786) 306-0505
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023444500
—
FL
Enumeration date
10/31/2020
Last updated
10/31/2020
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