Provider Demographics
NPI:1437766789
Name:DEEP INSIGHT LLC
Entity Type:Organization
Organization Name:DEEP INSIGHT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MBR
Authorized Official - Prefix:
Authorized Official - First Name:RODRIGUEZ FINALET
Authorized Official - Middle Name:
Authorized Official - Last Name:NERIEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-773-7116
Mailing Address - Street 1:8001 W 26TH AVE UNIT 2
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-2753
Mailing Address - Country:US
Mailing Address - Phone:305-320-6371
Mailing Address - Fax:305-320-6364
Practice Address - Street 1:8001 W 26TH AVE UNIT 2
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-2753
Practice Address - Country:US
Practice Address - Phone:305-320-6371
Practice Address - Fax:305-320-6364
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-29
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health