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3471 N Federal Hwy Ste 410 Fort Lauderdale FL 33306-1050 | |
| (954) 903-9426 | |
| (954) 533-8616 |
| Full Name | |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3471 N Federal Hwy Ste 410, Fort Lauderdale, Florida |
| Authorized Official Name and Position | Elizabeth King (CEO) |
| Authorized Official Contact | 9549039426 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3471 N Federal Hwy Ste 410 Fort Lauderdale FL 33306-1050 Ph: (954) 903-9426 | 3471 N Federal Hwy Ste 410 Fort Lauderdale FL 33306-1050 Ph: (954) 903-9426 |
| NPI Number | 1437448099 |
|---|---|
| Provider Enumeration Date | 04/05/2011 |
| Last Update Date | 04/05/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437448099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW5833 (Florida) | Primary |
| 133V00000X | Dietitian, Registered | ND5063 (Florida) | Secondary |
| 171100000X | Acupuncturist | AP1944 (Florida) | Secondary |
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