| Emotion Life Care Center Llc | |
|
14261 Sw 120th St Ste 113 Miami FL 33186-7273 | |
| (786) 757-5706 | |
| Not Available |
| Full Name | Emotion Life Care Center Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 14261 Sw 120th St Ste 113, Miami, Florida |
| Authorized Official Name and Position | Juan Caceres Diaz (PRESIDENT) |
| Authorized Official Contact | 7867575706 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emotion Life Care Center Llc 14261 Sw 120th St Ste 113 Miami FL 33186-7273 Ph: (786) 757-5706 | Emotion Life Care Center Llc 14261 Sw 120th St Ste 113 Miami FL 33186-7273 Ph: (786) 757-5706 |
| NPI Number | 1962251728 |
|---|---|
| Provider Enumeration Date | 05/15/2024 |
| Last Update Date | 05/15/2024 |
| Certification Date | 05/15/2024 |
| Medicare PECOS PAC ID | 0648704429 |
|---|---|
| Medicare Enrollment ID | O20241115002575 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962251728 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Maninder Singh Aulakh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093392706 PECOS PAC ID: 9335548205 Enrollment ID: I20240830002084 |
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