| Coral Springs Phobia Center | |
|
5551 N University Dr Suite 102 Coral Springs FL 33067-4651 | |
| (954) 345-8733 | |
| (954) 345-8233 |
| Full Name | Coral Springs Phobia Center |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 5551 N University Dr, Coral Springs, Florida |
| Authorized Official Name and Position | Ely D Pelta (OWNER) |
| Authorized Official Contact | 9543458733 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coral Springs Phobia Center 5551 N University Dr Suite 102 Coral Springs FL 33067-4651 Ph: (954) 345-8733 | Coral Springs Phobia Center 5551 N University Dr Suite 102 Coral Springs FL 33067-4651 Ph: (954) 345-8733 |
| NPI Number | 1184844771 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 04/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184844771 | NPI | - | NPPES |
| CM3126 | Other | FL | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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