Denovo Medical Center Inc | |
15495 Eagle Nest Ln Ste 206 Miami Lakes FL 33014-2266 | |
(305) 414-4029 | |
Not Available |
Full Name | Denovo Medical Center Inc |
---|---|
Speciality | Community/behavioral Health |
Location | 15495 Eagle Nest Ln Ste 206, Miami Lakes, Florida |
Authorized Official Name and Position | Suria Errasti Rodriguez (PRESIDENT) |
Authorized Official Contact | 7867921285 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Denovo Medical Center Inc 15495 Eagle Nest Ln Ste 206 Miami Lakes FL 33014-2266 Ph: (305) 414-4029 | Denovo Medical Center Inc 15495 Eagle Nest Ln Ste 206 Miami Lakes FL 33014-2266 Ph: (305) 414-4029 |
NPI Number | 1083203798 |
---|---|
Provider Enumeration Date | 01/16/2021 |
Last Update Date | 01/16/2021 |
Certification Date | 01/16/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083203798 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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