Organization
INFINITE PERSONAL POSSIBILITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO COSTA (VICE PRESIDENT OF OPERATIONS)
(305) 573-6333
Entity
Organization
Contact information
Practice address
17501 BISCAYNE BLVD STE 500, AVENTURA, FL 33160-4806
(305) 573-6333
Mailing address
17501 BISCAYNE BLVD, AVENTURA, FL 33160-4802
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
674580696
—
FL
Enumeration date
03/21/2013
Last updated
03/21/2013
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