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805 E Broward Blvd Ste 301 Fort Lauderdale FL 33301-2046 | |
| (954) 994-1312 | |
| (954) 466-3888 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 805 E Broward Blvd Ste 301, Fort Lauderdale, Florida |
| Authorized Official Name and Position | Gintaras Razaitis (OWNER) |
| Authorized Official Contact | 9549941312 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
805 E Broward Blvd Ste 301 Fort Lauderdale FL 33301-2046 Ph: (954) 994-1312 | 805 E Broward Blvd Ste 301 Fort Lauderdale FL 33301-2046 Ph: (954) 994-1312 |
| NPI Number | 1346859741 |
|---|---|
| Provider Enumeration Date | 07/31/2020 |
| Last Update Date | 12/05/2024 |
| Certification Date | 12/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346859741 | NPI | - | NPPES |
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