| Psychiatry Health Center Llc | |
|
4030 Sw 107th Ct Miami FL 33165-4817 | |
| (786) 678-8987 | |
| Not Available |
| Full Name | Psychiatry Health Center Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4030 Sw 107th Ct, Miami, Florida |
| Authorized Official Name and Position | Luis Dabul (OWNER) |
| Authorized Official Contact | 7866788987 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychiatry Health Center Llc 4030 Sw 107th Ct Miami FL 33165-4817 Ph: (786) 678-8987 | Psychiatry Health Center Llc 4030 Sw 107th Ct Miami FL 33165-4817 Ph: (786) 678-8987 |
| NPI Number | 1619798576 |
|---|---|
| Provider Enumeration Date | 10/22/2024 |
| Last Update Date | 10/22/2024 |
| Certification Date | 10/22/2024 |
| Medicare PECOS PAC ID | 1355878232 |
|---|---|
| Medicare Enrollment ID | O20241217003828 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619798576 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Luis Alexander Dabul |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598127086 PECOS PAC ID: 4981990330 Enrollment ID: I20190321002137 |
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