Organization
HERITAGE HEALTH CARE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERNARD O SPOONER RN (CONSULTANT NURSE)
(813) 992-7867
Entity
Organization
Contact information
Practice address
1031 IVES DAIRY RD STE 228, MIAMI, FL 33179-2538
(561) 633-9037
Mailing address
1031 IVES DAIRY RD STE 228, MIAMI, FL 33179-2538
(561) 633-9037
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/19/2021
Last updated
05/19/2021
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