| South Florida Psychiatric Services Inc | |
|
2225 N University Dr Bldg O Pembroke Pines FL 33024-3611 | |
| (954) 962-6200 | |
| (954) 962-5495 |
| Full Name | South Florida Psychiatric Services Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2225 N University Dr Bldg O, Pembroke Pines, Florida |
| Authorized Official Name and Position | Antonio F Defilippo (PRESIDENT) |
| Authorized Official Contact | 9549626200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Florida Psychiatric Services Inc 2225 N University Dr Pembroke Pines FL 33024-3611 Ph: () - | South Florida Psychiatric Services Inc 2225 N University Dr Bldg O Pembroke Pines FL 33024-3611 Ph: (954) 962-6200 |
| NPI Number | 1922353515 |
|---|---|
| Provider Enumeration Date | 07/19/2012 |
| Last Update Date | 07/17/2024 |
| Certification Date | 07/17/2024 |
| Medicare PECOS PAC ID | 4183870025 |
|---|---|
| Medicare Enrollment ID | O20120809000299 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922353515 | NPI | - | NPPES |
| 120548200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Antonio I De Filippo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346223658 PECOS PAC ID: 9234178088 Enrollment ID: I20050430000037 |
| Provider Name | Laura Del Llano Lemus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437866852 PECOS PAC ID: 4385016526 Enrollment ID: I20230615000687 |
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