Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ark Provision Enterprises, Inc

Organization Developmental Disabilities Clinic/Center · NPI 1013683440

Ark Provision Enterprises, Inc is a Developmental Disabilities Clinic/Center in Hialeah, Florida. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5911 NW 173rd Dr Unit 11
Hialeah, FL 33015-5122
Phone: (786) 655-9992
Fax: (786) 734-8142
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Disabilities Clinic/Center (primary) Taxonomy 261QD1600X

Record details

NPI number1013683440
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationArk Provision Enterprises Inc
Authorized official Vicente Chang — Vp · (786) 655-9992
NPI enumeratedAugust 17, 2021
Last updated in NPPESAugust 17, 2021
Certification dateJuly 22, 2021
Mailing address17333 Nw 62nd Pl, Hialeah, FL 33015-4502

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