| Building Momentum Inc. | |
|
300 S Pine Island Rd Suite 227 Plantation FL 33324-2673 | |
| (954) 382-4889 | |
| (954) 382-4884 |
| Full Name | Building Momentum Inc. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 300 S Pine Island Rd, Plantation, Florida |
| Authorized Official Name and Position | Grace Elizabeth Sidberry (PRESIDENT) |
| Authorized Official Contact | 9543824889 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Building Momentum Inc. 300 S Pine Island Rd Suite 227 Plantation FL 33324-2673 Ph: (954) 382-4889 | Building Momentum Inc. 300 S Pine Island Rd Suite 227 Plantation FL 33324-2673 Ph: (954) 382-4889 |
| NPI Number | 1710075916 |
|---|---|
| Provider Enumeration Date | 10/11/2006 |
| Last Update Date | 10/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710075916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY 6164 (Florida) | Primary |
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