Organization
I AM EQUILIBRIUM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVETTE AGUSTI (CFO)
(786) 543-1377
Entity
Organization
Contact information
Practice address
6463 BIRD RD, MIAMI, FL 33155-4827
(305) 790-6125
Mailing address
6463 BIRD RD, MIAMI, FL 33155-4827
(305) 790-6125
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110711600
—
FL
Enumeration date
06/13/2021
Last updated
01/26/2022
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