| Infinite Behavioral Health, Inc | |
|
2421 Hollywood Blvd Suite 1 And 2 Hollywood FL 33020-6605 | |
| (954) 923-9111 | |
| (954) 923-9190 |
| Full Name | Infinite Behavioral Health, Inc |
|---|---|
| Speciality | Psychologist |
| Location | 2421 Hollywood Blvd, Hollywood, Florida |
| Authorized Official Name and Position | Natalie Alazrachi (VICE PRESIDENT) |
| Authorized Official Contact | 3059150551 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infinite Behavioral Health, Inc 2421 Hollywood Blvd. Suite 1 And 2 Hollywood FL 33020-6711 Ph: (954) 309-5667 | Infinite Behavioral Health, Inc 2421 Hollywood Blvd Suite 1 And 2 Hollywood FL 33020-6605 Ph: (954) 923-9111 |
| NPI Number | 1689982415 |
|---|---|
| Provider Enumeration Date | 09/14/2010 |
| Last Update Date | 12/01/2021 |
| Certification Date | 12/01/2021 |
| Medicare PECOS PAC ID | 9638340037 |
|---|---|
| Medicare Enrollment ID | O20110915000097 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689982415 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY7670 (Florida) | Primary |
| 103TP0016X | Psychologist - Prescribing (medical) | ME63070 (Florida) | Secondary |
| Provider Name | Antonio I De Filippo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346223658 PECOS PAC ID: 9234178088 Enrollment ID: I20050430000037 |
| Provider Name | Julie Dara Bruno |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659549954 PECOS PAC ID: 3072601947 Enrollment ID: I20090304000781 |
| Provider Name | Suzzy L Brooks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063616043 PECOS PAC ID: 8426373002 Enrollment ID: I20150203001434 |
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