Organization
ESSEX
Active
Organization
ESSEX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE MIGUEL ORTIZ (ADMINISTRATOR)
(786) 426-1493
Entity
Organization
Contact information
Practice address
651 NR 3PL, HIALEAH, FL 33010
(305) 885-6804
Mailing address
651 NE 3RD PL, HIALEAH, FL 33010-5005
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/10/2008
Last updated
07/10/2008
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