| Focusclinic-m2 | |
|
12712 N Winners Cir Davie FL 33330-4322 | |
| (305) 776-0060 | |
| Not Available |
| Full Name | Focusclinic-m2 |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 12712 N Winners Cir, Davie, Florida |
| Authorized Official Name and Position | Nathaniel Keller (PRESIDENT) |
| Authorized Official Contact | 3057760060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Focusclinic-m2 12712 N Winners Cir Davie FL 33330-4322 Ph: (305) 776-0060 | Focusclinic-m2 12712 N Winners Cir Davie FL 33330-4322 Ph: (305) 776-0060 |
| NPI Number | 1427407493 |
|---|---|
| Provider Enumeration Date | 06/09/2016 |
| Last Update Date | 06/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427407493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME87905 (Florida) | Primary |
| 235Z00000X | Speech-language Pathologist | SA14531 (Florida) | Secondary |
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