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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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