Organization
MIAMI BEHAVIOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAMARIS MEDINA (PRESIDENT)
(305) 608-4117
Entity
Organization
Contact information
Practice address
3671 SW 25TH ST, MIAMI, FL 33133-2003
(305) 608-4117
Mailing address
3671 SW 25TH ST, MIAMI, FL 33133-2003
(305) 608-4117
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/16/2017
Last updated
11/16/2017
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