| Mirta Rice Psyd Llc | |
|
1625 N Commerce Pkwy Suite Number 200 Weston FL 33326-3216 | |
| (954) 385-0353 | |
| (954) 389-0886 |
| Full Name | Mirta Rice Psyd Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1625 N Commerce Pkwy, Weston, Florida |
| Authorized Official Name and Position | Mirta Rice (PRESIDENT) |
| Authorized Official Contact | 9543850353 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mirta Rice Psyd Llc 1625 N Commerce Pkwy Suite # 200 Weston FL 33326-3216 Ph: (954) 385-0353 | Mirta Rice Psyd Llc 1625 N Commerce Pkwy Suite Number 200 Weston FL 33326-3216 Ph: (954) 385-0353 |
| NPI Number | 1497904221 |
|---|---|
| Provider Enumeration Date | 09/17/2008 |
| Last Update Date | 12/21/2010 |
| Medicare PECOS PAC ID | 7618026758 |
|---|---|
| Medicare Enrollment ID | O20090520000643 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497904221 | NPI | - | NPPES |
| Provider Name | Mirta Rice |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588813349 PECOS PAC ID: 3072662113 Enrollment ID: I20090520000639 |
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