Fcpa | |
7241 Sw 63rd Ave 203-a South Miami FL 33143-4838 | |
(305) 666-0068 | |
(305) 666-8283 |
Full Name | Fcpa |
---|---|
Speciality | Psychologist - Forensic |
Location | 7241 Sw 63rd Ave, South Miami, Florida |
Authorized Official Name and Position | I. Bruce Frumkin (DIRECTOR) |
Authorized Official Contact | 3056660068 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Fcpa 7241 Sw 63rd Ave 203-a South Miami FL 33143-4838 Ph: (305) 666-0068 | Fcpa 7241 Sw 63rd Ave 203-a South Miami FL 33143-4838 Ph: (305) 666-0068 |
NPI Number | 1316164668 |
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Provider Enumeration Date | 04/19/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316164668 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TF0200X | Psychologist - Forensic | PY3191 (Florida) | Primary |
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