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NPI Code Detail

MEDICARE: THE BERTHA ABESS CHILDREN'S CENTER

MEDICARE: THE BERTHA ABESS CHILDREN'S CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1396969101
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE BERTHA ABESS CHILDREN'S CENTER
Provider Business Mailing Address
First Line : 5801 BISCAYNE BLVD
Second Line :
City : MIAMI
State : FL
Zip : 33137-2638
Country : US
Telephone Number : 305-756-7116
Fax Number : 305-756-9335
Provider Business Practice Location Address
First Line : 5801 BISCAYNE BLVD
Second Line :
City : MIAMI
State : FL
Zip : 33137-2638
Country : US
Telephone Number : 305-756-7116
Fax Number : 305-756-9335
Authorized Official
Title or Position : CEO
Name : MR. RONALD K FELTON
Credential :
Telephone Number : 305-756-7116
Provider Enumeration Date : 04/12/2007
Last Update Date : 08/22/2020

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1316152853 — MS. ANKE GILBERT LMHC
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Directions to “THE BERTHA ABESS CHILDREN'S CENTER ” Practice Location

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