| Broward Behavioral And Community Services, Inc | |
|
9050 Pines Boulevard Suite 205 Pembroke Pines FL 33024 | |
| (954) 744-4182 | |
| (954) 842-2913 |
| Full Name | Broward Behavioral And Community Services, Inc |
|---|---|
| Speciality | Case Management |
| Location | 9050 Pines Boulevard Suite 205, Pembroke Pines, Florida |
| Authorized Official Name and Position | Angel Casola (OWNER/ADMINISTRATOR) |
| Authorized Official Contact | 9547444182 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Broward Behavioral And Community Services, Inc 9050 Pines Boulevard Suite 205 Pembroke Pines FL 33024 Ph: (954) 744-4182 | Broward Behavioral And Community Services, Inc 9050 Pines Boulevard Suite 205 Pembroke Pines FL 33024 Ph: (954) 744-4182 |
| NPI Number | 1396118899 |
|---|---|
| Provider Enumeration Date | 11/05/2015 |
| Last Update Date | 12/12/2023 |
| Certification Date | 12/12/2023 |
| Medicare PECOS PAC ID | 9436545175 |
|---|---|
| Medicare Enrollment ID | O20220406001858 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396118899 | NPI | - | NPPES |
| Provider Name | Wilfred P Fernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598886426 PECOS PAC ID: 9032131008 Enrollment ID: I20051220000072 |
| Provider Name | Sandra R Pelaez-mursey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942747126 PECOS PAC ID: 9436245883 Enrollment ID: I20170807001100 |
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