MEDICARE: MBS COMMUNITY, 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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)	5673	FL

General Provider Information

NPI Number	:	1427089994
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MBS COMMUNITY, INC.

Provider Business Mailing Address
First Line	:	12893 SW 42ND ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33175-3435
Country	:	US
Telephone Number	:	305-220-3804
Fax Number	:	305-223-3455

Provider Business Practice Location Address
First Line	:	12893 SW 42ND ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33175-3435
Country	:	US
Telephone Number	:	305-220-3804
Fax Number	:	305-223-3455

Authorized Official
Title or Position	:	EXECUTIVE ADMINISTRATOR
Name	:	MRS. SONIA BARBEITE
Credential	:	R.N.
Telephone Number	:	305-220-3804

Provider Enumeration Date	:	07/05/2006
Last Update Date	:	08/22/2020

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