| Cindy Jill North Lcsw., P.a. | |
|
1931 Nw 150th Ave Ste 124 Pembroke Pines Pembroke Pines FL 33028-2873 | |
| (954) 322-1005 | |
| Not Available |
| Full Name | Cindy Jill North Lcsw., P.a. |
|---|---|
| Speciality | Social Worker |
| Location | 1931 Nw 150th Ave Ste 124, Pembroke Pines, Florida |
| Authorized Official Name and Position | Cindy Jill North (DIRECTOR) |
| Authorized Official Contact | 9543221005 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cindy Jill North Lcsw., P.a. 1931 Nw 150th Ave Ste 124 Pembroke Pines Pembroke Pines FL 33028-2873 Ph: (954) 322-1005 | Cindy Jill North Lcsw., P.a. 1931 Nw 150th Ave Ste 124 Pembroke Pines Pembroke Pines FL 33028-2873 Ph: (954) 322-1005 |
| NPI Number | 1992043657 |
|---|---|
| Provider Enumeration Date | 01/30/2013 |
| Last Update Date | 01/30/2013 |
| Medicare PECOS PAC ID | 2466697826 |
|---|---|
| Medicare Enrollment ID | O20130408000135 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992043657 | NPI | - | NPPES |
| 001524800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW3970 (Florida) | Primary |
| Provider Name | Cindy J North |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104837798 PECOS PAC ID: 7214978170 Enrollment ID: I20050520000382 |
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