A & a Community Mental Health Center

Organization Active NPI Community/Behavioral Health Agency · Miramar, FL

NPI 1871129395 · NPPES record last updated Mar 16, 2020

Key facts

NPI
1871129395
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
A & A COMMUNITY MENTAL HEALTH CENTER
Practice address
3176 S University Dr
Miramar, FL 33025-3002
Phone
(305) 305-2596
NPI assigned
Mar 16, 2020
Organization subpart
No

Authorized official

Name
Anel Costa
Title
Owner
Phone
(305) 305-2596

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in FL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20210527000664 FL Part B Supplier - Clinic/Group Practice 5294134060 Receives reassigned benefits from 2 practitioners
Practice locations: Miramar, FL

National Provider Directory

Locations

3176 S University Dr
Miramar, FL 33025
Phone (954) 431-2020

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Yes

Addresses

Primary practice location

3176 S University Dr
Miramar, FL 33025-3002

Mailing address

3176 S University Dr
Miramar, FL 33025-3002

Other providers in Miramar, FL

All providers in Miramar, FL · Community/Behavioral Health Agency in Florida

Sources for this page

Verify at the official NPI Registry.