Healthcare Provider Details

I. General information

NPI: 1477217552
Provider Name (Legal Business Name): SPRING CASE MANAGER SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2021
Last Update Date: 10/26/2021
Certification Date: 10/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15825 SW 66TH TER
MIAMI FL
33193-3647
US

IV. Provider business mailing address

15825 SW 66TH TER
MIAMI FL
33193-3647
US

V. Phone/Fax

Practice location:
  • Phone: 786-468-5396
  • Fax:
Mailing address:
  • Phone: 786-468-5396
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MS. ZANNIA FABIOLA FALERO VIGOA
Title or Position: ADMINISTRATOR
Credential: DO
Phone: 786-468-5396