| Eshu Total Service Corp | |
|
15192 Sw 137th St Unit 7 Miami FL 33196-5778 | |
| (305) 927-2379 | |
| Not Available |
| Full Name | Eshu Total Service Corp |
|---|---|
| Speciality | Assistant Behavior Analyst |
| Location | 15192 Sw 137th St Unit 7, Miami, Florida |
| Authorized Official Name and Position | Lucia Perera (PRESIDENT) |
| Authorized Official Contact | 3059272379 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eshu Total Service Corp 15192 Sw 137th St Unit 7 Miami FL 33196-5778 Ph: () - | Eshu Total Service Corp 15192 Sw 137th St Unit 7 Miami FL 33196-5778 Ph: (305) 927-2379 |
| NPI Number | 1891205100 |
|---|---|
| Provider Enumeration Date | 10/02/2017 |
| Last Update Date | 10/02/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891205100 | NPI | - | NPPES |
| 022154300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106E00000X | Assistant Behavior Analyst | 022154300 (Florida) | Primary |
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