| Fort Lauderdale Psychiatric Services Pa | |
|
6405 N Federal Hwy 103 Fort Lauderdale FL 33308-1412 | |
| (954) 491-9801 | |
| (954) 491-9808 |
| Full Name | Fort Lauderdale Psychiatric Services Pa |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 6405 N Federal Hwy, Fort Lauderdale, Florida |
| Authorized Official Name and Position | Albert Francis Castellon (PRESIDENT) |
| Authorized Official Contact | 9544919801 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fort Lauderdale Psychiatric Services Pa 4613 N University Dr 573 Coral Springs FL 33067-4602 Ph: (954) 491-9801 | Fort Lauderdale Psychiatric Services Pa 6405 N Federal Hwy 103 Fort Lauderdale FL 33308-1412 Ph: (954) 491-9801 |
| NPI Number | 1669640389 |
|---|---|
| Provider Enumeration Date | 02/15/2008 |
| Last Update Date | 12/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669640389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME88395 (Florida) | Primary |
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