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Organization

POSITIVE ALLIANCE MIAMI LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANA CAROLINA GOMEZ (OWNER)
(305) 457-1036
Entity
Organization

Contact information

Practice address
6625 MIAMI LAKES DR STE 406, MIAMI, FL 33014-2704
(305) 457-1036
Mailing address
3410 CORAL WAY, 502, MIAMI, FL 33145-3079
(305) 457-1036

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
MH12789
FL

Other

Enumeration date
08/02/2016
Last updated
11/07/2016
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