| David Saketkoo Psyd Pa | |
|
1040 Bayview Dr Suite 534 Fort Lauderdale FL 33304-2522 | |
| (954) 993-7807 | |
| (954) 563-5807 |
| Full Name | David Saketkoo Psyd Pa |
|---|---|
| Speciality | Psychologist |
| Location | 1040 Bayview Dr, Fort Lauderdale, Florida |
| Authorized Official Name and Position | David Saketkoo (PRESIDENT) |
| Authorized Official Contact | 9549937807 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David Saketkoo Psyd Pa 9749 Sw 1st St Plantation FL 33324-2314 Ph: (954) 452-6839 | David Saketkoo Psyd Pa 1040 Bayview Dr Suite 534 Fort Lauderdale FL 33304-2522 Ph: (954) 993-7807 |
| NPI Number | 1265470108 |
|---|---|
| Provider Enumeration Date | 06/03/2006 |
| Last Update Date | 10/20/2010 |
| Medicare PECOS PAC ID | 5890705941 |
|---|---|
| Medicare Enrollment ID | O20060503000571 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265470108 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY7001 (Florida) | Primary |
| Provider Name | David F Saketkoo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770526246 PECOS PAC ID: 6103884804 Enrollment ID: I20041228000752 |
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