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1040 Bayview Dr Suite 101 Fort Lauderdale FL 33304-2522 | |
| (954) 204-4123 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1040 Bayview Dr, Fort Lauderdale, Florida |
| Authorized Official Name and Position | Stephen J Dawson (OWNER) |
| Authorized Official Contact | 9542044123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1040 Bayview Dr Suite 101 Fort Lauderdale FL 33304-2522 Ph: (954) 204-4123 | 1040 Bayview Dr Suite 101 Fort Lauderdale FL 33304-2522 Ph: (954) 204-4123 |
| NPI Number | 1497295729 |
|---|---|
| Provider Enumeration Date | 03/06/2017 |
| Last Update Date | 03/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497295729 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MT 3087 (Florida) | Primary |
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