| Victory Brt Corp | |
|
2101 W 76th St Hialeah FL 33016-1834 | |
| (786) 615-4083 | |
| Not Available |
| Full Name | Victory Brt Corp |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2101 W 76th St, Hialeah, Florida |
| Authorized Official Name and Position | Adolfo L Nunez Rodriguez (OWNER) |
| Authorized Official Contact | 7867733393 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Victory Brt Corp 2101 W 76th St Hialeah FL 33016-1834 Ph: () - | Victory Brt Corp 2101 W 76th St Hialeah FL 33016-1834 Ph: (786) 615-4083 |
| NPI Number | 1184386641 |
|---|---|
| Provider Enumeration Date | 10/12/2021 |
| Last Update Date | 10/15/2021 |
| Certification Date | 10/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184386641 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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