| Meraki Clinical Group | |
|
4000 Hollywood Blvd Ste 529 Hollywood FL 33021-6897 | |
| (305) 900-3566 | |
| Not Available |
| Full Name | Meraki Clinical Group |
|---|---|
| Speciality | Social Worker |
| Location | 4000 Hollywood Blvd Ste 529, Hollywood, Florida |
| Authorized Official Name and Position | Mabel M Castro (CLINICAL DIRECTOR) |
| Authorized Official Contact | 3059003566 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Meraki Clinical Group 4000 Hollywood Blvd Ste 529 Hollywood FL 33021-6897 Ph: (305) 900-3566 | Meraki Clinical Group 4000 Hollywood Blvd Ste 529 Hollywood FL 33021-6897 Ph: (305) 900-3566 |
| NPI Number | 1245796960 |
|---|---|
| Provider Enumeration Date | 02/18/2019 |
| Last Update Date | 06/09/2026 |
| Certification Date | 06/09/2026 |
| Medicare PECOS PAC ID | 3678019379 |
|---|---|
| Medicare Enrollment ID | O20240718000451 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245796960 | NPI | - | NPPES |
| Provider Name | Mabel M Castro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104380849 PECOS PAC ID: 0244648392 Enrollment ID: I20210409001573 |
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