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1932598851
MIVIP BEHAVIORAL HEALTH LLC
HOLLYWOOD, FL
NPI
1932598851
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Entity Type
Organization
Authorized Contact
ISAAC VERBUKH
President
561-392-3341
Organization Subpart ?
Yes
Primary Taxonomy
103TH0004X Psychologist, Health
Enumeration Date
2015-01-15
Last Update Date
2015-01-15
Business Address
MIVIP BEHAVIORAL HEALTH LLC
3475 SHERIDAN ST 101
HOLLYWOOD, FL 33021-3663
Phone number: 855-496-4847
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Mailing Address
MIVIP BEHAVIORAL HEALTH LLC
398 CAMINO GARDENS BLVD 102
BOCA RATON, FL 33432-5827
Phone number: 561-392-3341
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