Organization
RECIPROCATE 1906 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUSTIN GOLLOPP (PRESIDENT)
(786) 916-3960
Entity
Organization
Contact information
Practice address
18425 NW 2ND AVE, SUITE 330, MIAMI GARDENS, FL 33169-4534
(786) 916-3960
(786) 916-3962
Mailing address
18425 NW 2ND AVE, SUITE 330, MIAMI GARDENS, FL 33169-4534
(786) 916-3960
(786) 916-3962
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/10/2014
Last updated
03/10/2014
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