| Advanced Psychiatric Care, P.a. | |
|
18501 Pines Boulevard Suite 209 Pembroke Pines FL 33029 | |
| (954) 437-2118 | |
| (954) 432-3188 |
| Full Name | Advanced Psychiatric Care, P.a. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 18501 Pines Boulevard, Pembroke Pines, Florida |
| Authorized Official Name and Position | Maximiliano Cardozo (DIRECTOR) |
| Authorized Official Contact | 9545597903 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Psychiatric Care, P.a. 14937 Sw 35th St Davie FL 33331-2722 Ph: (954) 559-7903 | Advanced Psychiatric Care, P.a. 18501 Pines Boulevard Suite 209 Pembroke Pines FL 33029 Ph: (954) 437-2118 |
| NPI Number | 1487747275 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 07/24/2007 |
| Medicare PECOS PAC ID | 4183713258 |
|---|---|
| Medicare Enrollment ID | O20071128000224 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487747275 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME78637 (Florida) | Primary |
| Provider Name | Maximiliano Cardozo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043303837 PECOS PAC ID: 2668451220 Enrollment ID: I20040716000631 |
| Provider Name | Gloria C Cardozo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831203876 PECOS PAC ID: 5294811584 Enrollment ID: I20080327000033 |
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