| Psychosoma, Inc. | |
|
8766 Sw 8th St Miami FL 33174-3201 | |
| (305) 221-5366 | |
| (305) 667-9496 |
| Full Name | Psychosoma, Inc. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 8766 Sw 8th St, Miami, Florida |
| Authorized Official Name and Position | Luis R. Maderal (OWNER PRESIDENT DIRECTOR) |
| Authorized Official Contact | 3052215366 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychosoma, Inc. 6750 Sw 104th St Miami FL 33156-3252 Ph: (305) 221-5366 | Psychosoma, Inc. 8766 Sw 8th St Miami FL 33174-3201 Ph: (305) 221-5366 |
| NPI Number | 1316167919 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316167919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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