| Ac Aspire Llc | |
|
2425 E Commercial Blvd Ste 400 Fort Lauderdale FL 33308-4029 | |
| (305) 244-8763 | |
| Not Available |
| Full Name | Ac Aspire Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 2425 E Commercial Blvd Ste 400, Fort Lauderdale, Florida |
| Authorized Official Name and Position | Wynette B Green (PROGRAM DIRECTOR) |
| Authorized Official Contact | 3052448763 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ac Aspire Llc 4584 Sw 113th Avenue Bldg 7 Apt 312 Pembroke Pines FL 33025 Ph: (305) 244-8763 | Ac Aspire Llc 2425 E Commercial Blvd Ste 400 Fort Lauderdale FL 33308-4029 Ph: (305) 244-8763 |
| NPI Number | 1255791729 |
|---|---|
| Provider Enumeration Date | 02/26/2016 |
| Last Update Date | 02/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255791729 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MT2794 (Florida) | Primary |
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