| Dave Manning Enterprises Llc | |
|
4311 Crystal Lake Drive # 203 Pompano Beach FL 33064 | |
| (954) 254-6389 | |
| Not Available |
| Full Name | Dave Manning Enterprises Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4311 Crystal Lake Drive # 203, Pompano Beach, Florida |
| Authorized Official Name and Position | David Livingston Manning (MANAGER) |
| Authorized Official Contact | 9542546389 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dave Manning Enterprises Llc 3907 N Federal Hwy # 271 Pompano Beach FL 33064-6042 Ph: (954) 254-6389 | Dave Manning Enterprises Llc 4311 Crystal Lake Drive # 203 Pompano Beach FL 33064 Ph: (954) 254-6389 |
| NPI Number | 1942806799 |
|---|---|
| Provider Enumeration Date | 12/08/2020 |
| Last Update Date | 12/08/2020 |
| Certification Date | 12/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942806799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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