| Behavioral Centers Of South Florida Llc | |
|
1806 N Flamingo Rd Suite 280 Pembroke Pines FL 33028-1026 | |
| (954) 374-4768 | |
| (954) 507-9655 |
| Full Name | Behavioral Centers Of South Florida Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1806 N Flamingo Rd, Pembroke Pines, Florida |
| Authorized Official Name and Position | Yipsi Martin (MGR) |
| Authorized Official Contact | 9548661202 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Centers Of South Florida Llc 1806 N Flamingo Rd Suite 280 Pembroke Pines FL 33028-1026 Ph: (954) 374-4768 | Behavioral Centers Of South Florida Llc 1806 N Flamingo Rd Suite 280 Pembroke Pines FL 33028-1026 Ph: (954) 374-4768 |
| NPI Number | 1780122218 |
|---|---|
| Provider Enumeration Date | 02/03/2017 |
| Last Update Date | 05/10/2024 |
| Certification Date | 10/06/2021 |
| Medicare PECOS PAC ID | 7214355981 |
|---|---|
| Medicare Enrollment ID | O20200911001285 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780122218 | NPI | - | NPPES |
| Provider Name | Pierre E Pean |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710013990 PECOS PAC ID: 9931367596 Enrollment ID: I20120228000693 |
| Provider Name | Jorge Betancourt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982707998 PECOS PAC ID: 7012177702 Enrollment ID: I20120404000985 |
| Provider Name | Yanet Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225697923 PECOS PAC ID: 4880026764 Enrollment ID: I20191114001188 |
| Provider Name | Azucena Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841662392 PECOS PAC ID: 1254480064 Enrollment ID: I20191203000566 |
| Provider Name | Ibis Reyes Soto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548804164 PECOS PAC ID: 3476954603 Enrollment ID: I20210625001222 |
| Provider Name | Hugo Prieto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568955946 PECOS PAC ID: 2668873803 Enrollment ID: I20210625001510 |
| Provider Name | Carmen C Leal Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871108480 PECOS PAC ID: 4284035338 Enrollment ID: I20210625002249 |
| Provider Name | Lourdes E Velazquez Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801494224 PECOS PAC ID: 3779984869 Enrollment ID: I20210628000480 |
| Provider Name | Lianne Blanco Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538767157 PECOS PAC ID: 7618378530 Enrollment ID: I20210630000480 |
| Provider Name | Judith N Gonzalez Dollar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679231054 PECOS PAC ID: 6507231230 Enrollment ID: I20230412000720 |
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