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DAEMA PINA PSYD LLC NPI 1720658677


NPI Information

NPI: 1720658677
Provider Name: DAEMA PINA PSYD LLC

Doing Business As: VITA-COG COMMUNITH HEALTH, LLC

Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

Address:
3625 NW 82ND AVE STE 400D
DORAL, FL
ZIP 33166
Phone: (786) 724-4224
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DAEMA PINA PSYD LLC is a community health clinic center in Doral, FL. DAEMA PINA PSYD LLC NPI is 1720658677. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Vita-cog Communith Health, Llc.

The provider's business location address is:

3625 NW 82ND AVE STE 400D
DORAL, FL
ZIP 33166-602
Phone: (786) 724-4224
Fax: (305) 397-2285

The provider's authorized official is Daema Pina Delgado .
The authorized official title is Owner/neuropsychologist and has the following contact phone number (786) 724-4224.

The enumeration date for this NPI number is 7/1/2021 and was last updated on 1/19/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103G00000XClinical NeuropsychologistNo
2103TC0700XPsychologistClinicalNo
3103TH0004XPsychologistHealthNo
4261QC1500XClinic/CenterCommunity HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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