| Dr Carmine Pecoraro Psy D & Associates P A | |
|
915 Middle River Dr 317 Ft Lauderdale FL 33304-3544 | |
| (954) 463-2723 | |
| (954) 463-1687 |
| Full Name | Dr Carmine Pecoraro Psy D & Associates P A |
|---|---|
| Speciality | Counselor |
| Location | 915 Middle River Dr, Ft Lauderdale, Florida |
| Authorized Official Name and Position | Judith Ann Pecoraro (VICE PRESIDENT) |
| Authorized Official Contact | 9548294644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Carmine Pecoraro Psy D & Associates P A 915 Middle River Dr 317 Ft Lauderdale FL 33304-3544 Ph: (954) 463-2723 | Dr Carmine Pecoraro Psy D & Associates P A 915 Middle River Dr 317 Ft Lauderdale FL 33304-3544 Ph: (954) 463-2723 |
| NPI Number | 1093933590 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 04/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093933590 | NPI | - | NPPES |
| AF405 | Other | FL | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | PY7477 (Florida) | Primary |
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