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General NPI Number Information
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NPI Number | 1790773281
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Entity Type | Individual
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Provider Name | CARLOS ABEL SATULOVSKY MD
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Gender | Male
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Dates
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Enumeration Date | 10/10/2005
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 330 N FEDERAL HWY # 2&3
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City | LAKE PARK
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State | FL
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Zip | 33403-3531
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Country | US
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Telephone | 954-529-3935
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Fax |
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Provider Business Mailing Address
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Address Line | 1250 WILEY ST
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City | HOLLYWOOD
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State | FL
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Zip | 33019-2248
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Country | US
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Telephone | 954-961-1500
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Fax | 954-961-7942
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME93652
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | ME93652
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License Number State | FL
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