Children's Harbor | |
19425 Sw 58th Mnr Fort Lauderdale FL 33332-3338 | |
(954) 392-5689 | |
(954) 252-7134 |
Full Name | Children's Harbor |
---|---|
Speciality | Community/behavioral Health |
Location | 19425 Sw 58th Mnr, Fort Lauderdale, Florida |
Authorized Official Name and Position | Sue Glasscock (CEO) |
Authorized Official Contact | 9543925689 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Children's Harbor 19425 Sw 58th Mnr Fort Lauderdale FL 33332-3338 Ph: (954) 392-5689 | Children's Harbor 19425 Sw 58th Mnr Fort Lauderdale FL 33332-3338 Ph: (954) 392-5689 |
NPI Number | 1295805703 |
---|---|
Provider Enumeration Date | 11/09/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295805703 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (Florida) | Primary |
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