Organization
IDEAL MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VANESSA LUISA PAGES PSY.D. (PRESIDENT)
(305) 665-8942
Entity
Organization
Contact information
Practice address
199 EDGEWATER DR, CORAL GABLES, FL 33133-6912
(305) 665-8942
Mailing address
199 EDGEWATER DR, CORAL GABLES, FL 33133-6912
(305) 665-8942
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY 6595
FL
Other
Enumeration date
09/24/2007
Last updated
05/27/2008
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