Individual
JOYCE BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3470 NW 174TH ST, MIAMI GARDENS, FL 33056-4148
(786) 616-6259
Mailing address
3470 NW 174TH ST, MIAMI GARDENS, FL 33056-4148
(786) 616-6259
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
S0-11-1160GH
FL
Other
Enumeration date
02/10/2026
Last updated
02/10/2026
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