Organization
BRAIN & BEHAVIORAL INSTITUTE OF SOUTH FLORIDA INC
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
(786) 866-5914
Mailing address
1801 CORAL WAY STE 327, MIAMI, FL 33145-2784
(786) 866-5914
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MH806
LICENSE
FL
Enumeration date
10/13/2021
Last updated
10/13/2021
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