Organization
FBC-HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREISY MEDINA MOJENA (CEO)
(786) 521-6511
Entity
Organization
Contact information
Practice address
1800 N BAYSHORE DR APT 4010, MIAMI, FL 33132-3235
(786) 521-6511
Mailing address
1800 N BAYSHORE DR APT 4010, MIAMI, FL 33132-3235
(786) 521-6511
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
2968
FL
106H00000X
Marriage & Family Therapist
Primary
2968
FL
Other
Enumeration date
07/17/2018
Last updated
07/17/2018
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