| Elaine Karbonik Psyd Pa | |
|
5337 Orange Dr Davie FL 33314-3815 | |
| (954) 562-3640 | |
| Not Available |
| Full Name | Elaine Karbonik Psyd Pa |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 5337 Orange Dr, Davie, Florida |
| Authorized Official Name and Position | Elaine Karbonik (PRESIDENT) |
| Authorized Official Contact | 9545623640 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elaine Karbonik Psyd Pa 10500 Nw 5th Mnr Plantation FL 33324-1647 Ph: (954) 562-3640 | Elaine Karbonik Psyd Pa 5337 Orange Dr Davie FL 33314-3815 Ph: (954) 562-3640 |
| NPI Number | 1588017123 |
|---|---|
| Provider Enumeration Date | 07/19/2016 |
| Last Update Date | 07/19/2016 |
| Medicare PECOS PAC ID | 1254614274 |
|---|---|
| Medicare Enrollment ID | O20170216001195 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588017123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PY 6992 (Florida) | Primary |
| Provider Name | Elaine Karbonik |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073670808 PECOS PAC ID: 9032179635 Enrollment ID: I20041018001024 |
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