| Floridas Treatment Center Corporation | |
|
4850 W Oakland Park Blvd Ste 102 Lauderdale Lakes FL 33313-7268 | |
| (954) 380-0714 | |
| (877) 977-5142 |
| Full Name | Floridas Treatment Center Corporation |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4850 W Oakland Park Blvd Ste 102, Lauderdale Lakes, Florida |
| Authorized Official Name and Position | Monique Martin (CREDENTIALING MANAGER) |
| Authorized Official Contact | 5617276196 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Floridas Treatment Center Corporation 4850 W Oakland Park Blvd Ste 102 Lauderdale Lakes FL 33313-7268 Ph: (954) 380-0714 | Floridas Treatment Center Corporation 4850 W Oakland Park Blvd Ste 102 Lauderdale Lakes FL 33313-7268 Ph: (954) 380-0714 |
| NPI Number | 1114771797 |
|---|---|
| Provider Enumeration Date | 04/11/2024 |
| Last Update Date | 04/11/2024 |
| Certification Date | 04/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114771797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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