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NPI Code Detail

MEDICARE: DINA SAGARESE-COLEMAN LMFT

MEDICARE: DINA SAGARESE-COLEMAN LMFT
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
1106H00000XMarriage & Family TherapistMT3807FL

General Provider Information

NPI Number : 1295363802
Entity Type Code : Individual
Provider Name (Legal Business Name) : DINA SAGARESE-COLEMAN LMFT
Provider Business Mailing Address
First Line : 7589 COURTYARD RUN W
Second Line :
City : BOCA RATON
State : FL
Zip : 33433-3002
Country : US
Telephone Number : 954-304-6508
Fax Number :
Provider Business Practice Location Address
First Line : 1700 N DIXIE HWY
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33407-6504
Country : US
Telephone Number : 561-713-6872
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2020
Last Update Date : 03/30/2020

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Directions to “ DINA SAGARESE-COLEMAN LMFT” Practice Location

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