Organization
BRAIN & BEHAVIORAL INSTITUTE OF SOUTH FLORIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAMS JOSE LUCENA (AUTHORIZED OFFICIAL)
(305) 778-6795
Entity
Organization
Contact information
Practice address
1801 CORAL WAY STE 327, MIAMI, FL 33145-2784
(305) 778-6795
Mailing address
1801 CORAL WAY STE 327, MIAMI, FL 33145-2784
(305) 778-6795
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109270200
—
FL
Enumeration date
10/13/2021
Last updated
10/13/2021
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