Drt Behavioral Services Pllc | |
2699 Stirling Rd Suite C407 Fort Lauderdale FL 33312 | |
(305) 981-1700 | |
Not Available |
Full Name | Drt Behavioral Services Pllc |
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Speciality | Psychiatry & Neurology |
Location | 2699 Stirling Rd, Fort Lauderdale, Florida |
Authorized Official Name and Position | Delvena Renee Thomas (OWNER) |
Authorized Official Contact | 3059811700 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Drt Behavioral Services Pllc 2699 Stirling Road Suite C407 Fort Lauderdale FL 33312 Ph: (305) 981-1700 | Drt Behavioral Services Pllc 2699 Stirling Rd Suite C407 Fort Lauderdale FL 33312 Ph: (305) 981-1700 |
NPI Number | 1063856938 |
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Provider Enumeration Date | 04/23/2013 |
Last Update Date | 08/07/2020 |
Certification Date | 08/07/2020 |
Medicare PECOS PAC ID | 7911148325 |
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Medicare Enrollment ID | O20130729000102 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063856938 | NPI | - | NPPES |
009939900 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | OS10439 (Florida) | Primary |
Provider Name | Jose M Gonzalez |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1376557454 PECOS PAC ID: 4789613142 Enrollment ID: I20050806000045 |
Provider Name | Delvena Thomas |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1861517278 PECOS PAC ID: 5496835803 Enrollment ID: I20090311000415 |
Provider Name | Rochelle P Boyd |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316370984 PECOS PAC ID: 7911121397 Enrollment ID: I20140605001606 |
Provider Name | Linda Mays |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457775553 PECOS PAC ID: 0840419511 Enrollment ID: I20140910002230 |
Provider Name | Tammy T Ewing |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700269776 PECOS PAC ID: 5193033397 Enrollment ID: I20160803001877 |
Provider Name | Jameelah S Trimble |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1245783463 PECOS PAC ID: 8820386592 Enrollment ID: I20161012001336 |
Provider Name | Lerae J Hill |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801320452 PECOS PAC ID: 8325412885 Enrollment ID: I20230323001872 |
Provider Name | Monica Brown |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285305383 PECOS PAC ID: 4789062100 Enrollment ID: I20230414000298 |
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