Organization
ADVANCED CARE PROFESSIONAL,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIDELNIS PEREIRA (PRESIDENT)
(786) 837-1271
Entity
Organization
Contact information
Practice address
4633 SW 13TH TER, MIAMI, FL 33134-2730
(786) 837-1271
Mailing address
4633 SW 13TH TER, MIAMI, FL 33134-2730
(786) 837-1271
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003926700
—
FL
Enumeration date
09/07/2011
Last updated
09/07/2011
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