Individual
MAXIEL AMAREYIS MATEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT, RN
Contact information
Practice address
1117 SW 123RD AVE, PEMBROKE PINES, FL 33025-5770
(786) 663-3265
Mailing address
1117 SW 123RD AVE, PEMBROKE PINES, FL 33025-5770
(786) 663-3265
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT4630
FL
163W00000X
Registered Nurse
9648954
FL
Other
Enumeration date
03/19/2014
Last updated
01/17/2024
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