Organization
TRAVI HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDDY TRAVIESO INCLAN (PRESIDENT)
(210) 279-6508
Entity
Organization
Contact information
Practice address
14050 SW 84TH ST, MIAMI, FL 33183-4440
(210) 279-6508
Mailing address
14050 SW 84TH ST, MIAMI, FL 33183-4440
(210) 279-6508
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
11/07/2020
Last updated
11/07/2020
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