| Spotlight Center Llc | |
|
25157 Sw 108th Ct Homestead FL 33032-6354 | |
| (305) 600-6751 | |
| Not Available |
| Full Name | Spotlight Center Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 25157 Sw 108th Ct, Homestead, Florida |
| Authorized Official Name and Position | Addiel Jimenez Fernandez (PRESIDENT) |
| Authorized Official Contact | 3056006751 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spotlight Center Llc 25157 Sw 108th Ct Homestead FL 33032-6354 Ph: (305) 600-6751 | Spotlight Center Llc 25157 Sw 108th Ct Homestead FL 33032-6354 Ph: (305) 600-6751 |
| NPI Number | 1649988056 |
|---|---|
| Provider Enumeration Date | 11/14/2022 |
| Last Update Date | 11/14/2022 |
| Certification Date | 11/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649988056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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