Organization
BRIDGE OF CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YARITZA AGUIAR RODRIGUEZ CBHCMS (EXECUTIVE DIRECTOR)
(305) 603-7063
Entity
Organization
Contact information
Practice address
2311 10TH AVE N STE 3, LAKE WORTH, FL 33461-6605
(561) 899-3017
(561) 429-2622
Mailing address
11401 SW 40TH ST STE 345, MIAMI, FL 33165-3372
(305) 603-7063
(305) 603-8705
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105068600
—
FL
Enumeration date
08/05/2021
Last updated
08/05/2021
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