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NPI Code Detail

MEDICARE: MR. ROY RINDOM LMHC

MEDICARE:  MR. ROY  RINDOM  LMHC
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
1101Y00000XCounselorMH8804FL

General Provider Information

NPI Number : 1417180217
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ROY RINDOM LMHC
Provider Business Mailing Address
First Line : 2500 HOLLYWOOD BLVD
Second Line : SUITE # 409
City : HOLLYWOOD
State : FL
Zip : 33020-6615
Country : US
Telephone Number : 954-696-9750
Fax Number :
Provider Business Practice Location Address
First Line : 2500 HOLLYWOOD BLVD
Second Line : SUITE # 409
City : HOLLYWOOD
State : FL
Zip : 33020-6615
Country : US
Telephone Number : 954-696-9750
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2009
Last Update Date : 08/26/2009

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Directions to “ MR. ROY RINDOM LMHC” Practice Location

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