Krystal Farnum | |
6919 W Broward Blvd Ste 151 Plantation FL 33317-2902 | |
(954) 283-0747 | |
Not Available |
Full Name | Krystal Farnum |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 6919 W Broward Blvd Ste 151, Plantation, Florida |
Authorized Official Name and Position | Krystal Farnum (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 5705403465 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Krystal Farnum 6919 W Broward Blvd Ste 151 Plantation FL 33317-2902 Ph: () - | Krystal Farnum 6919 W Broward Blvd Ste 151 Plantation FL 33317-2902 Ph: (954) 283-0747 |
NPI Number | 1457983777 |
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Provider Enumeration Date | 02/05/2020 |
Last Update Date | 02/05/2020 |
Certification Date | 02/05/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457983777 | NPI | - | NPPES |
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