Healthcare Provider Details

I. General information

NPI: 1285647040
Provider Name (Legal Business Name): ARTURO A CID LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 10/13/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17071 W DIXIE HWY SUITE 103
NORTH MIAMI BEACH FL
33160-3773
US

IV. Provider business mailing address

1042 NW 159TH AVE
PEMBROKE PINES FL
33028-1609
US

V. Phone/Fax

Practice location:
  • Phone: 305-804-7843
  • Fax: 786-664-3379
Mailing address:
  • Phone: 305-804-7843
  • Fax: 786-664-3379

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW6842
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: