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2699 Stirling Rd Ste A106 Fort Lauderdale FL 33312-6543 | |
| (954) 674-2306 | |
| (954) 674-2307 |
| Full Name | |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 2699 Stirling Rd Ste A106, Fort Lauderdale, Florida |
| Authorized Official Name and Position | Harold Anthony Vieux (CEO) |
| Authorized Official Contact | 9546742306 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2699 Stirling Rd Ste A106 Fort Lauderdale FL 33312-6543 Ph: (954) 674-2306 | 2699 Stirling Rd Ste A106 Fort Lauderdale FL 33312-6543 Ph: (954) 674-2306 |
| NPI Number | 1417212804 |
|---|---|
| Provider Enumeration Date | 07/11/2012 |
| Last Update Date | 07/11/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417212804 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | LCMFT0350020512 (Florida) | Primary |
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