Organization
LITTLE MIRACLES PPEC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISSA TORRES (PRESIDENT/CEO)
(305) 971-1230
Entity
Organization
Contact information
Practice address
11025 SW 84TH ST STE 9, MIAMI, FL 33173-3856
(305) 971-1230
Mailing address
11025 SW 84TH ST STE 8, MIAMI, FL 33173-3856
(305) 971-1230
(305) 971-3095
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
—
—
251J00000X
Nursing Care Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
11/06/2024
Last updated
11/06/2024
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