Organization
BIOWIK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CORNELIA PAULINA DETESAN (CEO)
(786) 371-8337
Entity
Organization
Contact information
Practice address
4649 PONCE DE LEON BLVD, SUITE 302, CORAL GABLES, FL 33146
(786) 371-8337
Mailing address
4649 PONCE DE LEON BLVD, SUITE 302, CORAL GABLES, FL 33146
(786) 371-8337
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/23/2024
Last updated
07/15/2024
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