| L Daisy Skinner Msw Pa | |
|
12777 W Forest Hill Blvd Suite 1501 Wellington FL 33414-4775 | |
| (561) 795-9079 | |
| (561) 795-9033 |
| Full Name | L Daisy Skinner Msw Pa |
|---|---|
| Speciality | Social Worker |
| Location | 12777 W Forest Hill Blvd, Wellington, Florida |
| Authorized Official Name and Position | L Daisy Skinner (PRESIDENT) |
| Authorized Official Contact | 5617959079 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| L Daisy Skinner Msw Pa 12777 W Forest Hill Blvd Suite 1501 Wellington FL 33414-4775 Ph: (561) 795-9079 | L Daisy Skinner Msw Pa 12777 W Forest Hill Blvd Suite 1501 Wellington FL 33414-4775 Ph: (561) 795-9079 |
| NPI Number | 1255468377 |
|---|---|
| Provider Enumeration Date | 02/27/2007 |
| Last Update Date | 06/21/2018 |
| Medicare PECOS PAC ID | 2567539083 |
|---|---|
| Medicare Enrollment ID | O20080925000567 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255468377 | NPI | - | NPPES |
| 1275602823 | Other | FL | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW6240 (Florida) | Primary |
| Provider Name | L Daisy Skinner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275602823 PECOS PAC ID: 5799877825 Enrollment ID: I20070822000288 |
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