| The Divine Savior School | |
|
6055 Nw 104th Ave Doral FL 33178-4867 | |
| (786) 476-5155 | |
| Not Available |
| Full Name | The Divine Savior School |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6055 Nw 104th Ave, Doral, Florida |
| Authorized Official Name and Position | Ileana Ortiz (PRESIDENT) |
| Authorized Official Contact | 7864765155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Divine Savior School 6055 Nw 104th Ave Doral FL 33178-4867 Ph: (786) 476-5155 | The Divine Savior School 6055 Nw 104th Ave Doral FL 33178-4867 Ph: (786) 476-5155 |
| NPI Number | 1407424948 |
|---|---|
| Provider Enumeration Date | 06/11/2021 |
| Last Update Date | 06/11/2021 |
| Certification Date | 06/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407424948 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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