Healthcare Provider Details

I. General information

NPI: 1174024970
Provider Name (Legal Business Name): ALESSANDRO MION
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/27/2018
Last Update Date: 02/27/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7530 SUNSET DR
MIAMI FL
33143-4132
US

IV. Provider business mailing address

13758 SW 116TH LN
MIAMI FL
33186-9091
US

V. Phone/Fax

Practice location:
  • Phone: 305-271-8790
  • Fax:
Mailing address:
  • Phone: 786-346-7588
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: