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NPI Code Detail

MEDICARE: M.I.S MENTAL HEALTH SERVICES CORP

MEDICARE: M.I.S MENTAL HEALTH SERVICES CORP
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
1251B00000XCase Management Agency

General Provider Information

NPI Number : 1568054708
Entity Type Code : Organization
Provider Name (Legal Business Name) : M.I.S MENTAL HEALTH SERVICES CORP
Provider Business Mailing Address
First Line : 5080 NW 74TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33166-5554
Country : US
Telephone Number : 305-562-4396
Fax Number : 305-631-2180
Provider Business Practice Location Address
First Line : 5080 NW 74TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33166-5554
Country : US
Telephone Number : 305-562-4396
Fax Number : 305-631-2180
Authorized Official
Title or Position : PRESIDENT
Name : MR. ROGELIO MORALES
Credential :
Telephone Number : 786-372-3262
Provider Enumeration Date : 02/09/2021
Last Update Date : 10/27/2023

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Directions to “M.I.S MENTAL HEALTH SERVICES CORP ” Practice Location

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