Organization
FLAVIA VAN RIEL MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FLAVIA VAN RIEL MD (PRESIDENT)
(305) 401-8899
Entity
Organization
Contact information
Practice address
975 ARTHUR GODFREY RD, SUITE 301, MIAMI BEACH, FL 33140-3329
(305) 401-8899
(305) 721-1692
Mailing address
4315 ALTON RD, MIAMI BEACH, FL 33140-2850
(305) 401-8899
(305) 721-1692
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
ME 86943
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275039200
—
FL
01
—
AN265
MEDICARE PART B GROUP
FL
Enumeration date
09/05/2008
Last updated
05/29/2013
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