| Angel Blue Therapy Services, LLC | |
|
721 Nw 21st Ct Miami FL 33125-3434 | |
| (786) 710-1976 | |
| Not Available |
| Full Name | Angel Blue Therapy Services, LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 721 Nw 21st Ct, Miami, Florida |
| Authorized Official Name and Position | Noel Ferrer Rodriguez (OWNER) |
| Authorized Official Contact | 3055480456 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Angel Blue Therapy Services, LLC 721 Nw 21st Ct Miami FL 33125-3434 Ph: (786) 710-1976 | Angel Blue Therapy Services, LLC 721 Nw 21st Ct Miami FL 33125-3434 Ph: (786) 710-1976 |
| NPI Number | 1013527118 |
|---|---|
| Provider Enumeration Date | 08/04/2020 |
| Last Update Date | 01/14/2025 |
| Certification Date | 12/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013527118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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