Healthcare Provider Details

I. General information

NPI: 1801707245
Provider Name (Legal Business Name): DAISY CABRERA AMADOR PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15239 SW 37TH ST
DAVIE FL
33331-2742
US

IV. Provider business mailing address

15239 SW 37TH ST
DAVIE FL
33331-2742
US

V. Phone/Fax

Practice location:
  • Phone: 786-514-2897
  • Fax:
Mailing address:
  • Phone: 786-514-2897
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY5720
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: