| Susan B. Anthony Center, Inc. | |
|
8910 Miramar Pkwy Suite #312 Miramar FL 33025-4100 | |
| (954) 733-6068 | |
| (954) 733-0766 |
| Full Name | Susan B. Anthony Center, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8910 Miramar Pkwy, Miramar, Florida |
| Authorized Official Name and Position | Dean A. Dalbery (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9547336068 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan B. Anthony Center, Inc. 1633 Poinciana Dr Pembroke Pines FL 33025-4587 Ph: (954) 733-6068 | Susan B. Anthony Center, Inc. 8910 Miramar Pkwy Suite #312 Miramar FL 33025-4100 Ph: (954) 733-6068 |
| NPI Number | 1891175683 |
|---|---|
| Provider Enumeration Date | 06/05/2015 |
| Last Update Date | 11/03/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891175683 | NPI | - | NPPES |
| 070669802 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1706AD308902 (Florida) | Primary |
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