| Gina V Eaton, Lcsw, Pa | |
|
12555 Orange Dr Suite 215 Davie FL 33330-4304 | |
| (954) 862-1736 | |
| (954) 862-1738 |
| Full Name | Gina V Eaton, Lcsw, Pa |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 12555 Orange Dr, Davie, Florida |
| Authorized Official Name and Position | Gina V Eaton (OWNER/PRESIDENT) |
| Authorized Official Contact | 9548621736 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gina V Eaton, Lcsw, Pa 12555 Orange Dr Suite 215 Davie FL 33330-4304 Ph: (954) 862-1736 | Gina V Eaton, Lcsw, Pa 12555 Orange Dr Suite 215 Davie FL 33330-4304 Ph: (954) 862-1736 |
| NPI Number | 1184029845 |
|---|---|
| Provider Enumeration Date | 10/23/2014 |
| Last Update Date | 10/23/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184029845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | SW 3884 (Florida) | Primary |
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