| Reciprocate 1906 Llc | |
|
18425 Nw 2nd Ave Suite 330 Miami Gardens FL 33169-4534 | |
| (786) 916-3960 | |
| (786) 916-3962 |
| Full Name | Reciprocate 1906 Llc |
|---|---|
| Speciality | Social Worker |
| Location | 18425 Nw 2nd Ave, Miami Gardens, Florida |
| Authorized Official Name and Position | Dustin Gollopp (PRESIDENT) |
| Authorized Official Contact | 7869163960 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reciprocate 1906 Llc 18425 Nw 2nd Ave Suite 330 Miami Gardens FL 33169-4534 Ph: (786) 916-3960 | Reciprocate 1906 Llc 18425 Nw 2nd Ave Suite 330 Miami Gardens FL 33169-4534 Ph: (786) 916-3960 |
| NPI Number | 1992121354 |
|---|---|
| Provider Enumeration Date | 03/10/2014 |
| Last Update Date | 03/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992121354 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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