| |
440 Sawgrass Corporate Pkwy Sunrise FL 33325-6244 | |
(954) 745-1112 | |
Not Available |
Full Name | |
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Speciality | Day Training, Developmentally Disabled Services |
Location | 440 Sawgrass Corporate Pkwy, Sunrise, Florida |
Authorized Official Name and Position | David Lubin (PRESIDENT) |
Authorized Official Contact | 9545604401 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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381 Sw 190th Ave Pembroke Pines FL 33029-5443 Ph: () - | 440 Sawgrass Corporate Pkwy Sunrise FL 33325-6244 Ph: (954) 745-1112 |
NPI Number | 1326216979 |
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Provider Enumeration Date | 02/18/2008 |
Last Update Date | 01/11/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326216979 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
251C00000X | Day Training, Developmentally Disabled Services | (* (Not Available)) | Primary |
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