Organization
EARLY EDUCATIONAL THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAGDELIN E CHAVEZ (VICE PRESIDENT)
(786) 390-9341
Entity
Organization
Contact information
Practice address
16472 SW 58TH TER, MIAMI, FL 33193-5682
(786) 390-9341
(305) 408-4600
Mailing address
16472 SW 58TH TER, MIAMI, FL 33193-5682
(786) 390-9341
(305) 408-4600
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
FL
Other
Enumeration date
05/27/2013
Last updated
05/27/2013
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