MEDICARE: KAREN M. CEASE P.A.

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
1	101YM0800X	Mental Health Counselor	2849	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154695583
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KAREN M. CEASE P.A.

Provider Business Mailing Address
First Line	:	2881 E. OAKLAND PARK BLVD
Second Line	:	SUITE 203
City	:	FT. LAUDERDALE
State	:	FL
Zip	:	33306-1813
Country	:	US
Telephone Number	:	954-315-1798
Fax Number	:	954-315-1792

Provider Business Practice Location Address
First Line	:	2881 E. OAKLAND PARK BLVD
Second Line	:	SUITE 203
City	:	FT. LAUDERDALE
State	:	FL
Zip	:	33306-1813
Country	:	US
Telephone Number	:	954-315-1798
Fax Number	:	954-315-1792

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. KAREN M. CEASE
Credential	:	MH
Telephone Number	:	954-315-1798

Provider Enumeration Date	:	03/02/2012
Last Update Date	:	03/02/2012

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