| Jay A Streimer Pa | |
|
4400 Sw 107th Way Davie FL 33328-2164 | |
| (954) 476-0200 | |
| (954) 476-0200 |
| Full Name | Jay A Streimer Pa |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4400 Sw 107th Way, Davie, Florida |
| Authorized Official Name and Position | Jay Streimer (PRESIDENT) |
| Authorized Official Contact | 9544760200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jay A Streimer Pa 4400 Sw 107th Way Davie FL 33328-2164 Ph: (954) 476-0200 | Jay A Streimer Pa 4400 Sw 107th Way Davie FL 33328-2164 Ph: (954) 476-0200 |
| NPI Number | 1740544220 |
|---|---|
| Provider Enumeration Date | 06/28/2012 |
| Last Update Date | 06/28/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740544220 | NPI | - | NPPES |
| 686048696 | Other | FL | MED WAIVER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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