Organization
MED-PSY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIVIAN DJ GONZALEZ-DIAZ PH.D (OWNER)
(305) 984-8422
Entity
Organization
Contact information
Practice address
3271 NW 7TH ST STE 203, MIAMI, FL 33125-4141
(786) 220-6902
Mailing address
PO BOX 347604, CORAL GABLES, FL 33234-7604
(786) 220-6902
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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