Reciprocate 1906 LLC

NPI #1992121354 in Miami Gardens, Florida

Provider Information

NPI Number: 1992121354
Entity Type: Organization
Organization Name: Reciprocate 1906 LLC
Primary Specialty: Social Worker
Enumeration Date: Mar 10, 2014
Last Updated: Mar 10, 2014

Practice Location

Address: 18425 NW 2ND AVE
Address 2: SUITE 330
City: Miami Gardens
State: Florida
ZIP Code: 33169-4534
Phone: (786) 916-3960

Authorized Official

Name: DUSTIN GOLLOPP
Title: PRESIDENT
Phone: (786) 916-3960

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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