Provider Demographics
NPI:1497488746
Name:ROMYS WORLD BEHAVIORAL SERVICES LLC
Entity Type:Organization
Organization Name:ROMYS WORLD BEHAVIORAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELICA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-374-1080
Mailing Address - Street 1:1021 SW 67TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-4714
Mailing Address - Country:US
Mailing Address - Phone:786-953-7111
Mailing Address - Fax:
Practice Address - Street 1:91760 OVERSEAS HWY # 202A
Practice Address - Street 2:
Practice Address - City:TAVERNIER
Practice Address - State:FL
Practice Address - Zip Code:33070-2642
Practice Address - Country:US
Practice Address - Phone:786-374-1080
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ROMYS WORLD BEHAVIORAL SERVICES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-07-05
Last Update Date:2022-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center