Organization
LA EDAD PREDIGIOSA COMMUNITY HEALTH CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIRIA DELISLE (PRESIDENT)
(786) 445-3446
Entity
Organization
Contact information
Practice address
18900 SW 106 AVE STE101-103, MIAMI, FL 33157
(786) 445-3446
Mailing address
18900 SW 106 AVE STE101-103, MIAMI, FL 33157
(786) 445-3446
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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