Healthcare Provider Details
I. General information
NPI: 1184233124
Provider Name (Legal Business Name): E & E SERVICE GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/27/2020
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2811 SW 3RD AVE STE 3
MIAMI FL
33129-2316
US
IV. Provider business mailing address
2811 SW 3RD AVE STE 3
MIAMI FL
33129-2316
US
V. Phone/Fax
- Phone: 786-343-6493
- Fax:
- Phone: 786-343-6493
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251B00000X |
| Taxonomy | Case Management Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ESTHER
RODRIGUEZ
Title or Position: OWNER
Credential:
Phone: 786-343-6493