| Coral Way Health Center Corp | |
|
12855 Sw 132nd St Ste 207a Miami FL 33186-7207 | |
| (305) 608-5572 | |
| (786) 250-5094 |
| Full Name | Coral Way Health Center Corp |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 12855 Sw 132nd St Ste 207a, Miami, Florida |
| Authorized Official Name and Position | Giselle L Garcia (PRESIDENT) |
| Authorized Official Contact | 3053921274 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coral Way Health Center Corp 9159 Sw 87th Ave Miami FL 33176-2302 Ph: (305) 392-1274 | Coral Way Health Center Corp 12855 Sw 132nd St Ste 207a Miami FL 33186-7207 Ph: (305) 608-5572 |
| NPI Number | 1255918942 |
|---|---|
| Provider Enumeration Date | 03/27/2021 |
| Last Update Date | 10/02/2024 |
| Certification Date | 10/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255918942 | NPI | - | NPPES |
| HCC12527 | Other | FL | AHCA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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