Plasencia & Associates, P.a. | |
10406 Taft St Pembroke Pines FL 33026-2819 | |
(954) 436-3880 | |
(954) 436-3881 |
Full Name | Plasencia & Associates, P.a. |
---|---|
Speciality | Counselor |
Location | 10406 Taft St, Pembroke Pines, Florida |
Authorized Official Name and Position | Carlos Eduardo Plasencia (PRESIDENT) |
Authorized Official Contact | 9544363880 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Plasencia & Associates, P.a. Po Box 277535 Miramar FL 33027-7535 Ph: (954) 436-3880 | Plasencia & Associates, P.a. 10406 Taft St Pembroke Pines FL 33026-2819 Ph: (954) 436-3880 |
NPI Number | 1558411496 |
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Provider Enumeration Date | 01/11/2007 |
Last Update Date | 03/01/2024 |
Certification Date | 03/01/2024 |
Medicare PECOS PAC ID | 5597102418 |
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Medicare Enrollment ID | O20240327000460 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558411496 | NPI | - | NPPES |
008061900 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
Provider Name | Carlos Eduardo Plasencia |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1588645436 PECOS PAC ID: 3678910593 Enrollment ID: I20240327000653 |
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