Davalos Health Services Llc | |
11760 Sw 40th St Ste 335 Miami FL 33175-3595 | |
(305) 588-7117 | |
(305) 227-3151 |
Full Name | Davalos Health Services Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 11760 Sw 40th St Ste 335, Miami, Florida |
Authorized Official Name and Position | Roberto S Davalos (OWNER) |
Authorized Official Contact | 7866191095 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Davalos Health Services Llc 11760 Sw 40th St Ste 335 Miami FL 33175-3595 Ph: (305) 588-7117 | Davalos Health Services Llc 11760 Sw 40th St Ste 335 Miami FL 33175-3595 Ph: (305) 588-7117 |
NPI Number | 1003371774 |
---|---|
Provider Enumeration Date | 02/06/2019 |
Last Update Date | 02/06/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003371774 | NPI | - | NPPES |
020900200 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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