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7595 Sw 33rd St Ste 407 Davie FL 33314-7708 | |
| (954) 262-6387 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 7595 Sw 33rd St Ste 407, Davie, Florida |
| Authorized Official Name and Position | Rosemery Estevez (CONTRACTING DIRECTOR) |
| Authorized Official Contact | 7862624343 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 290370 Davie FL 33329-0370 Ph: (954) 262-3434 | 7595 Sw 33rd St Ste 407 Davie FL 33314-7708 Ph: (954) 262-6387 |
| NPI Number | 1760126114 |
|---|---|
| Provider Enumeration Date | 04/22/2022 |
| Last Update Date | 07/26/2022 |
| Certification Date | 07/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760126114 | NPI | - | NPPES |
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