Organization
BRAINSINTEGRATIVE HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAUL GUSTAVO CORREDOR MD (OWNER)
(305) 988-0687
Entity
Organization
Contact information
Practice address
3661 S MIAMI AVE STE 504, MIAMI, FL 33133-4200
(305) 988-0687
(844) 476-3183
Mailing address
5401 COLLINS AVE APT 1414, MIAMI, FL 33140-2536
(305) 988-0687
(844) 476-3183
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/29/2020
Last updated
01/29/2020
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