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NPI Code Detail

MEDICARE: FLORIDIAN BEHAVIORAL HEALTHCARE

MEDICARE: FLORIDIAN BEHAVIORAL HEALTHCARE
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
1101YM0800XMental Health Counselor

Other Identifiers

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

General Provider Information

NPI Number : 1578975678
Entity Type Code : Organization
Provider Name (Legal Business Name) : FLORIDIAN BEHAVIORAL HEALTHCARE
Provider Business Mailing Address
First Line : 4699 N FEDERAL HWY
Second Line : SUITE 104A
City : POMPANO BEACH
State : FL
Zip : 33064-6510
Country : US
Telephone Number : 954-580-3263
Fax Number : 954-366-1658
Provider Business Practice Location Address
First Line : 4699 N FEDERAL HWY
Second Line : SUITE 104A
City : POMPANO BEACH
State : FL
Zip : 33064-6510
Country : US
Telephone Number : 954-580-3263
Fax Number : 954-366-1658
Authorized Official
Title or Position : CEO
Name : MR. SHELVIN RICE
Credential :
Telephone Number : 954-580-3263
Provider Enumeration Date : 05/22/2014
Last Update Date : 05/22/2014

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Directions to “FLORIDIAN BEHAVIORAL HEALTHCARE ” Practice Location

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