Individual
EMILSE TELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 NE 125TH ST, NORTH MIAMI, FL 33161-6034
(305) 915-8900
(305) 392-1391
Mailing address
1400 NE 125TH ST, NORTH MIAMI, FL 33161-6034
(305) 915-8900
(305) 392-1391
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CBHCM104127
FL
Other
Enumeration date
12/08/2021
Last updated
12/08/2021
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