Individual
MS. PEBBLES COLLINS-SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12214 SW 203RD TER, MIAMI, FL 33177-5260
(305) 218-4429
(305) 218-4429
Mailing address
12214 SW 203RD TER, MIAMI, FL 33177-5260
(305) 218-4429
(305) 218-4429
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
472640728
—
FL
Enumeration date
03/24/2015
Last updated
03/24/2015
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