| Safe Shores Psychiatry, Llc | |
|
3501 Johnson St Hollywood FL 33021-5421 | |
| (954) 593-6223 | |
| (754) 888-9979 |
| Full Name | Safe Shores Psychiatry, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3501 Johnson St, Hollywood, Florida |
| Authorized Official Name and Position | Carmen Livia Dobrescu (OWNER) |
| Authorized Official Contact | 9545936223 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Safe Shores Psychiatry, Llc 511 Leslie Dr Hallandale Beach FL 33009-2952 Ph: (954) 593-6223 | Safe Shores Psychiatry, Llc 3501 Johnson St Hollywood FL 33021-5421 Ph: (954) 593-6223 |
| NPI Number | 1336708312 |
|---|---|
| Provider Enumeration Date | 06/12/2019 |
| Last Update Date | 10/09/2019 |
| Medicare PECOS PAC ID | 4688902703 |
|---|---|
| Medicare Enrollment ID | O20190827001738 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336708312 | NPI | - | NPPES |
| 103679000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Carmen Livia Dobrescu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457676918 PECOS PAC ID: 4082854344 Enrollment ID: I20190827002004 |
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