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440 Sawgrass Corporate Pkwy Sunrise FL 33325-6244 | |
| (954) 298-8774 | |
| (954) 745-1120 |
| Full Name | |
|---|---|
| Speciality | Psychologist |
| Location | 440 Sawgrass Corporate Pkwy, Sunrise, Florida |
| Authorized Official Name and Position | Shana Williams (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 9542988774 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
440 Sawgrass Corporate Pkwy Sunrise FL 33325-6244 Ph: (954) 298-8774 | 440 Sawgrass Corporate Pkwy Sunrise FL 33325-6244 Ph: (954) 298-8774 |
| NPI Number | 1295186120 |
|---|---|
| Provider Enumeration Date | 06/22/2016 |
| Last Update Date | 06/22/2016 |
| Medicare PECOS PAC ID | 5991083677 |
|---|---|
| Medicare Enrollment ID | O20231003000622 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295186120 | NPI | - | NPPES |
| Provider Name | Shana Williams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922193499 PECOS PAC ID: 2062485824 Enrollment ID: I20231006000519 |
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