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NPI Code Detail

MEDICARE: ESSENTIAL HEALING OF SOUTH FLORIDA, INC.

MEDICARE: ESSENTIAL HEALING OF SOUTH FLORIDA, INC.
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
1103K00000XBehavior Analyst

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912389925
Entity Type Code : Organization
Provider Name (Legal Business Name) : ESSENTIAL HEALING OF SOUTH FLORIDA, INC.
Provider Business Mailing Address
First Line : 6415 LAKE WORTH RD STE 204
Second Line :
City : GREENACRES
State : FL
Zip : 33463-2904
Country : US
Telephone Number : 561-771-9561
Fax Number : 800-766-3139
Provider Business Practice Location Address
First Line : 6415 LAKE WORTH RD STE 204
Second Line :
City : GREENACRES
State : FL
Zip : 33463-2904
Country : US
Telephone Number : 561-771-9561
Fax Number : 800-766-3139
Authorized Official
Title or Position : ADMINISTRATOR
Name : MARIA BONET
Credential :
Telephone Number : 561-771-9561
Provider Enumeration Date : 06/25/2015
Last Update Date : 09/26/2025

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