Gre Haven Therapy LLC
Clinic/Center, Primary Care in Miami, FL. Organization (NPI-2).
NPI number1013673789
StatusActive
Last updated in NPPESNov 16, 2021
Details
- NPI
- 1013673789
- Entity type
- Organization (NPI-2)
- Legal business name
- Gre Haven Therapy LLC
- Organization subpart
- No
- Enumeration date
- Nov 16, 2021
- Certification date
- Oct 26, 2021
- Last updated
- Nov 16, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | – | – | Yes |
Practice location
1800 Sw 27th Ave Ste 200Miami, FL 33145-2455
Phone 786-409-5618 · Fax 786-409-5492
Mailing address
1800 Sw 27th Ave Ste 200Miami, FL 33145-2455
Phone 786-409-5618 · Fax 786-409-5492
Authorized official
Galia Pupo
President
7863071352
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