Individual
MICHEL CANOVA-PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CBHCH/BS
Contact information
Practice address
2780 SW 37TH AVE STE 206, COCONUT GROVE, FL 33133-2740
(305) 646-0112
Mailing address
10901 NE 3RD AVE, MIAMI, FL 33161-7000
(786) 661-0148
(305) 646-0113
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CBHCM102137
FL
Other
Enumeration date
10/12/2018
Last updated
10/12/2018
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