Organization
IMA EVALUATIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUIS ESTEVEZ (OFFICE MANAGER)
(305) 549-5408
Entity
Organization
Contact information
Practice address
1431 NW 13TH TER, MIAMI, FL 33125-2607
(305) 549-5408
Mailing address
1431 NW 13TH TER, MIAMI, FL 33125-2607
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY6623
FL
Other
Enumeration date
01/16/2013
Last updated
01/16/2013
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