| Dtw1 LLC | |
|
15807 Biscayne Blvd Ste 113 Aventura FL 33160-4669 | |
| (178) 695-5691 | |
| (786) 955-6956 |
| Full Name | Dtw1 LLC |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 15807 Biscayne Blvd Ste 113, Aventura, Florida |
| Authorized Official Name and Position | Kelsey Zamoyski (OWNER/THERAPIST) |
| Authorized Official Contact | 7869556912 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dtw1 LLC 15807 Biscayne Blvd Ste 113 Aventura FL 33160-4669 Ph: (178) 695-5691 | Dtw1 LLC 15807 Biscayne Blvd Ste 113 Aventura FL 33160-4669 Ph: (178) 695-5691 |
| NPI Number | 1639652852 |
|---|---|
| Provider Enumeration Date | 09/13/2018 |
| Last Update Date | 09/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639652852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
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