Organization
BLOOMING SMILES HEALTH SERVICES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BORYS GILBERTO JIMENEZ RAMOS (OWNER)
(305) 542-9827
Entity
Organization
Contact information
Practice address
12150 SW 128TH CT STE 142, MIAMI, FL 33186-4673
(305) 542-9827
Mailing address
12150 SW 128TH CT STE 142, MIAMI, FL 33186-4673
(305) 542-9827
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/07/2023
Last updated
03/07/2023
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