DRT BEHAVIORAL SERVICES PLLC
Psychiatric at 125 St, Miami, FL

License number
Florida OS10439
Category
Psychiatric
Type
Psychiatry
Owner
Name: DELVENA RENEE THOMAS DO
Title: OWNER
Phone: (305) 981-1700
Address
Address
1125 NE 125Th St SUITE 228, Miami, FL 33161
National Provider ID: 1063856938
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DRT BEHAVIORAL SERVICES "PLLC"

Miami, FL

Registration:
Feb 15, 2013
Addresses:
1125 NE 125 St SUITE 228, Miami, FL 33161 (Physical)
1175 NE 125 St, Miami, FL 33161
State ID:
L13000024612
Business type:
Florida Limited Liability Company
Managers:
Delvena R Thomas (Manager), PO Box 613565, Miami, FL 33261 (Physical),Tajai A Dunmeyer (Manager), PO Box 613565, Miami, FL 33261 (Physical)
Agent:
Delvena Thomas,1125 NE 125 St SUITE 228, Miami, FL 33161 (Physical)
EIN:
46-1983772

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