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NPI Code Detail

MEDICARE: MS. GEMA YUDIT DER ROHE-BORGHESE LICENSED CLINICAL SO

MEDICARE:  MS. GEMA YUDIT DER ROHE-BORGHESE  LICENSED CLINICAL SO
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
1103K00000XBehavior Analyst1-25-85895FL
2101YA0400XAddiction (Substance Use Disorder) CounselorFL
31041C0700XClinical Social WorkerSW11078FL

General Provider Information

NPI Number : 1508263682
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. GEMA YUDIT DER ROHE-BORGHESE LICENSED CLINICAL SO
Provider Business Mailing Address
First Line : 2965 SW 16TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33145-1143
Country : US
Telephone Number : 305-898-5157
Fax Number :
Provider Business Practice Location Address
First Line : 2965 SW 16TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33145-1143
Country : US
Telephone Number : 305-898-5157
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2014
Last Update Date : 12/01/2025

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Directions to “ MS. GEMA YUDIT DER ROHE-BORGHESE LICENSED CLINICAL SO” Practice Location

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