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NPI Code Detail

MEDICARE: BAILEE ABRAHAMOFF

MEDICARE: BAILEE ABRAHAMOFF
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
2106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1730724212
Entity Type Code : Individual
Provider Name (Legal Business Name) : BAILEE ABRAHAMOFF
Provider Business Mailing Address
First Line : 1152 N UNIVERSITY DR
Second Line :
City : PEMBROKE PINES
State : FL
Zip : 33024-5000
Country : US
Telephone Number : 954-639-7345
Fax Number :
Provider Business Practice Location Address
First Line : 1152 N UNIVERSITY DR
Second Line :
City : PEMBROKE PINES
State : FL
Zip : 33024-5000
Country : US
Telephone Number : 954-639-7345
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2019
Last Update Date : 12/21/2021

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Directions to “ BAILEE ABRAHAMOFF ” Practice Location

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