Healthcare Provider Details

I. General information

NPI: 1609023183
Provider Name (Legal Business Name): VICTOR BEHAR CEO-MCIC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2008
Last Update Date: 08/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 NW 57TH AVE SUITE 300
MIAMI FL
33126-3275
US

IV. Provider business mailing address

701 NW 57TH AVE SUITE 300
MIAMI FL
33126-3275
US

V. Phone/Fax

Practice location:
  • Phone: 305-265-7066
  • Fax: 305-263-6407
Mailing address:
  • Phone: 305-265-7066
  • Fax: 305-263-6407

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: