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Contact Information

FRESH START OF MIAMI-DADE, INC.
18441 NW 2ND AVE
SUITE 106-108
MIAMI GARDENS, FL33169-4517
 Phone: 305-623-9937
 Fax: 305-623-9917
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Supports Brokerage

251X00000X
Indicates primary specialty

NPI Profile & details for FRESH START OF MIAMI-DADE, INC.

NPI # 1912294745
LBN Legal business name FRESH START OF MIAMI-DADE, INC.
Authorized official SANDRA MCQUEEN-BAKER - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/30/2011
Last updated 10/09/2013 - About 13 years ago
Identifiers n/a
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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