MG PSYCHOTHERAPY CENTER PA
Ambulatory Health at Biscayne Blvd, Miami, FL

License number
Florida MT2747
Category
Ambulatory Health
Type
Mental Health (Including Community Mental Health Center)
Owner
Name: GABRIELA JUDITH KAUFMAN LMFT
Title: PRESIDENT
Phone: (305) 424-8731
Address
Address
17971 Biscayne Blvd SUITE 203, Miami, FL 33160
National Provider ID: 1255708327
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MG PSYCHOTHERAPY CENTER, PA

17971 Biscayne Blvd 203, North Miami Beach, FL 33160

Status:
Inactive
Inactive reason:
NAME CHANGE AMENDMENT
Registration:
Feb 18, 2015
Inactive since:
Apr 16, 2015
State ID:
P15000016348
Business type:
Florida Profit Corporation
S:
Gabriela J Kaufman, 17971 Biscayne Blvd SUITE 203, North Miami Beach, FL 33160 (Physical),Melania Benlolo, 17971 Biscayne Blvd SUITE 203, North Miami Beach, FL 33160 (Physical)
Agent:
Gabriela Kaufman,17971 Biscayne Blvd, North Miami Beach, FL 33160 (Physical)
FEI/EIN:
NO-NE

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