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MICHEL CANOVA-PEREZ CBHCH/BS

>> Case Manager/Care Coordinator >> Other Service Providers

Registrant NPI Number: 1942775218

Individual Registrant:
 MICHEL  CANOVA-PEREZ CBHCH/BS
Gender: M
Not Sole Proprietor

Location and contact information for practice:
2780 SW 37TH AVE STE 206  COCONUT GROVE, FL 33133-2740 US
Tel: 305-646-0112  Fax: --

Contact information for business:
10901 NE 3RD AVE  MIAMI, FL 33161-7000 US
Tel: 786-661-0148  Fax: 305-646-0113

Registration Information:
NPI: 1942775218
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y171M00000XOther Service Providers
Case Manager/Care Coordinator
FLCBHCM102137

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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