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NPI Code Detail

MEDICARE: LIZMARIE NATAL CBHCM

MEDICARE: LIZMARIE NATAL CBHCM
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
1104100000XSocial Worker

General Provider Information

NPI Number : 1245993054
Entity Type Code : Individual
Provider Name (Legal Business Name) : LIZMARIE NATAL CBHCM
Provider Business Mailing Address
First Line : 7724 NW 10TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33150-3233
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4649 PONCE DE LEON BLVD STE 404
Second Line :
City : CORAL GABLES
State : FL
Zip : 33146-2121
Country : US
Telephone Number : 786-536-9714
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2021
Last Update Date : 10/19/2021

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Directions to “ LIZMARIE NATAL CBHCM” Practice Location

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