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NPI Code Detail

MEDICARE: NOVOS BEHAVIORAL HEALTH CENTER INC

MEDICARE: NOVOS BEHAVIORAL HEALTH CENTER 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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952931743
Entity Type Code : Organization
Provider Name (Legal Business Name) : NOVOS BEHAVIORAL HEALTH CENTER INC
Provider Business Mailing Address
First Line : 2103 CORAL WAY STE 603
Second Line :
City : MIAMI
State : FL
Zip : 33145-2656
Country : US
Telephone Number : 786-464-0353
Fax Number : 786-483-8142
Provider Business Practice Location Address
First Line : 2103 CORAL WAY STE 604
Second Line :
City : MIAMI
State : FL
Zip : 33145-2656
Country : US
Telephone Number : 786-464-0353
Fax Number : 786-483-8142
Authorized Official
Title or Position : VICE PRESIDENT
Name : JOSUE RODRIGUEZ
Credential :
Telephone Number : 786-451-3040
Provider Enumeration Date : 01/21/2020
Last Update Date : 12/17/2024

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Practice Fax:

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