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NPI Code Detail

MEDICARE: PACIFIC MENTAL HEALTH INC

MEDICARE: PACIFIC MENTAL HEALTH 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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1326614033
Entity Type Code : Organization
Provider Name (Legal Business Name) : PACIFIC MENTAL HEALTH INC
Provider Business Mailing Address
First Line : 8180 NW 36TH ST STE 217
Second Line :
City : DORAL
State : FL
Zip : 33166-6653
Country : US
Telephone Number : 305-850-1349
Fax Number :
Provider Business Practice Location Address
First Line : 8180 NW 36TH ST STE 217
Second Line :
City : DORAL
State : FL
Zip : 33166-6653
Country : US
Telephone Number : 305-850-1349
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : ROSEMERY ESTEVEZ HERNANDEZ
Credential :
Telephone Number : 305-850-1349
Provider Enumeration Date : 06/02/2021
Last Update Date : 06/02/2021

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Directions to “PACIFIC MENTAL HEALTH INC ” Practice Location

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