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Contact Information

TAL COMMUNITY MENTAL HEALTH CENTER LLC
12781 MIRAMAR PARKWAY
SUITE 203
MIRAMAR, FL33027
 Phone: 786-648-3588
 Fax: 786-698-7677
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for TAL COMMUNITY MENTAL HEALTH CENTER LLC

NPI # 1235715236
LBN Legal business name TAL COMMUNITY MENTAL HEALTH CENTER LLC
Authorized official GASTON BOGOMOLNI - (OWNER-CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 03/20/2021
Last updated 12/12/2022 - About 3 years ago
Identifiers
FL Medicaid 109921400
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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