| Jessica L Vera Phd Llc | |
|
1451 W Cypress Creek Rd Ste 300 Ft Lauderdale FL 33309-1953 | |
| (954) 665-0319 | |
| Not Available |
| Full Name | Jessica L Vera Phd Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1451 W Cypress Creek Rd Ste 300, Ft Lauderdale, Florida |
| Authorized Official Name and Position | Jessica Vera (PRESIDENT) |
| Authorized Official Contact | 9546650319 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica L Vera Phd Llc 9832 Grand Verde Way Apt 203 Boca Raton FL 33428-3519 Ph: (954) 665-0319 | Jessica L Vera Phd Llc 1451 W Cypress Creek Rd Ste 300 Ft Lauderdale FL 33309-1953 Ph: (954) 665-0319 |
| NPI Number | 1184195794 |
|---|---|
| Provider Enumeration Date | 12/07/2018 |
| Last Update Date | 11/28/2023 |
| Certification Date | 11/28/2023 |
| Medicare PECOS PAC ID | 3072965656 |
|---|---|
| Medicare Enrollment ID | O20240118004451 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184195794 | NPI | - | NPPES |
| Provider Name | Jessica L. Vera |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003919424 PECOS PAC ID: 2961854542 Enrollment ID: I20240118004540 |
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