MEDICARE: HEALTHY BEHAVIOR COMMUNITY SERVICES 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
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1003455809
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHY BEHAVIOR COMMUNITY SERVICES INC

Provider Business Mailing Address
First Line	:	13270 SW 8TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33184-1178
Country	:	US
Telephone Number	:	561-876-2425
Fax Number	:

Provider Business Practice Location Address
First Line	:	13270 SW 8TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33184-1178
Country	:	US
Telephone Number	:	561-876-2425
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	FELIX M RODRIGUEZ
Credential	:
Telephone Number	:	561-876-2425

Provider Enumeration Date	:	12/27/2019
Last Update Date	:	12/27/2019

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