| Cazares Professional Therapy Llc | |
|
1000 W Mcnab Rd Ste 275 Pompano Beach FL 33069-4719 | |
| (305) 496-7753 | |
| Not Available |
| Full Name | Cazares Professional Therapy Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1000 W Mcnab Rd Ste 275, Pompano Beach, Florida |
| Authorized Official Name and Position | Sarajane Cazares (SOLE MBR) |
| Authorized Official Contact | 3054967753 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cazares Professional Therapy Llc 1000 W Mcnab Rd Ste 275 Pompano Beach FL 33069-4719 Ph: (305) 496-7753 | Cazares Professional Therapy Llc 1000 W Mcnab Rd Ste 275 Pompano Beach FL 33069-4719 Ph: (305) 496-7753 |
| NPI Number | 1639788755 |
|---|---|
| Provider Enumeration Date | 07/24/2020 |
| Last Update Date | 08/07/2023 |
| Certification Date | 08/07/2023 |
| Medicare PECOS PAC ID | 0345653028 |
|---|---|
| Medicare Enrollment ID | O20210120000679 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639788755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Sarajane Cazares |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013210046 PECOS PAC ID: 8022261619 Enrollment ID: I20210129000095 |
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