A Shared Vision

NPI 1164788584 - Psychologist - 103TC0700X

NPI Details
NPI 1164788584
Enumeration Date 04/10/2012
Last Updated 04/10/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name ANA M ANA
Position DIRECTOR
Phone (305) 567-1155
Fax (305) 448-6915
Practice Location
3400 CORAL WAY
SUITE 401
MIAMI FL, 33145-3053, US
Phone (305) 567-1155
Fax (305) 448-6915
Business Location
3400 CORAL WAY
SUITE 401
MIAMI FL, 33145-3053, US
Phone (305) 567-1155
Fax (305) 448-6915
Toxanomy
Taxonomy Code 103TC0700X
License State Florida
License Number MH3510
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According to our database, A Shared Vision NPI is 1164788584, taxonomy code is 103TC0700X and license number is MH3510, license state is located at Florida. A Shared Vision physically located at 3400 Coral Way, Miami FL, 33145-3053. NPI Number 1033115704 has the healthcare provider type.

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1164788584 NPI number is provided on an as is basis without warranty of any kind. 1164788584 is maintained by the National Plan & Provider Enumeration System. The contents of A Shared Vision are for informational purposes only.