Organization
MARTHA BOFILL & ASSOCIATES, P.S.Y., CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA BOFILL PSYD (PSYCHOLOGIST)
(786) 587-2617
Entity
Organization
Contact information
Practice address
351 NW 42ND AVE, SUITE 401, MIAMI, FL 33126-5683
(786) 587-2617
Mailing address
PO BOX 227761, MIAMI, FL 33222-7761
(786) 587-2617
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY7089
FL
Other
Enumeration date
09/10/2014
Last updated
09/10/2014
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