Mauricio Martin
Mauricio Martin is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Miami, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2016
Practice location Address checks out
20342 SW 129th PlMiami, FL 33177-5506
Phone: (786) 457-0743
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Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X · Licence 11-1158-GH (FL) |
|---|
Record details
| NPI number | 1578011920 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 14, 2016 |
| Last updated in NPPES | September 14, 2016 |
| Mailing address | 20342 Sw 129th Pl, Miami, FL 33177-5506 |
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