Organization
FAMILY RESOURCE CENTER OF SOUTH FLORIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OREN WUNDERMAN PHD (EXECUTIVE DIRECTOR)
(305) 960-5521
Entity
Organization
Contact information
Practice address
155 SOUTH MIAMI AVE, SUITE 400, MIAMI, FL 33137
(305) 812-2902
Mailing address
155 S MIAMI AVE, SUITE 400, MIAMI, FL 33130-1617
(305) 812-2902
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
NONE
FL
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
070390700
—
FL
01
—
100022541
CHILD PLACEMENT AGENCY PROVIDER NUMBER
FL
Enumeration date
09/14/2012
Last updated
09/14/2012
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