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3131 Nw 68th Ct Fort Lauderdale FL 33309-1232 | |
| (786) 779-8898 | |
| (305) 847-1432 |
| Full Name | |
|---|---|
| Speciality | Social Worker |
| Location | 3131 Nw 68th Ct, Fort Lauderdale, Florida |
| Authorized Official Name and Position | Jeanne E Assinthe (OWNER) |
| Authorized Official Contact | 3053103015 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
3131 Nw 68th Ct Fort Lauderdale FL 33309-1232 Ph: (305) 310-3015 | 3131 Nw 68th Ct Fort Lauderdale FL 33309-1232 Ph: (786) 779-8898 |
| NPI Number | 1912372863 |
|---|---|
| Provider Enumeration Date | 12/03/2015 |
| Last Update Date | 10/18/2021 |
| Certification Date | 10/18/2021 |
| Medicare PECOS PAC ID | 9638475957 |
|---|---|
| Medicare Enrollment ID | O20160314001154 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912372863 | NPI | - | NPPES |
| 108887200 | Medicaid | FL | |
| 5485861 | Other | FL | AETNA |
| 022753900 | Medicaid | FL | |
| 5632569 | Other | FL | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW13131 (Florida) | Primary |
| Provider Name | Jeanne Assinthe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043552532 PECOS PAC ID: 9931405255 Enrollment ID: I20160314001084 |
| Provider Name | Tekisha Durand |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952785388 PECOS PAC ID: 7911399233 Enrollment ID: I20220119001027 |
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