| Felice Fusca Lcsw Llc | |
|
1881 Ne 26th St Ste 70 Wilton Manors FL 33305-1425 | |
| (954) 812-1825 | |
| Not Available |
| Full Name | Felice Fusca Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1881 Ne 26th St Ste 70, Wilton Manors, Florida |
| Authorized Official Name and Position | Felice Fusca (LCSW) |
| Authorized Official Contact | 9548121825 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Felice Fusca Lcsw Llc 1881 Ne 26th St Ste 70 Wilton Manors FL 33305-1425 Ph: (954) 812-1825 | Felice Fusca Lcsw Llc 1881 Ne 26th St Ste 70 Wilton Manors FL 33305-1425 Ph: (954) 812-1825 |
| NPI Number | 1275259822 |
|---|---|
| Provider Enumeration Date | 10/17/2022 |
| Last Update Date | 10/17/2022 |
| Certification Date | 10/15/2022 |
| Medicare PECOS PAC ID | 4284003534 |
|---|---|
| Medicare Enrollment ID | O20221208003295 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275259822 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Felice Dominic Fusca |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053721027 PECOS PAC ID: 4587988324 Enrollment ID: I20150127000116 |
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