MEDICARE: DR. CARLOS ANTONIO INSIGNARES PHD, M. DIV, CFC

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	101Y00000X	Counselor	IMHC24164	FL

General Provider Information

NPI Number	:	1659156875
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CARLOS ANTONIO INSIGNARES PHD, M. DIV, CFC

Provider Business Mailing Address
First Line	:	500 SOUTH FEDERAL HIGHWAY
Second Line	:	#1032
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33008-6044
Country	:	US
Telephone Number	:	561-444-8907
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 SOUTH FEDERAL HIGHWAY
Second Line	:	#1032
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33008-6044
Country	:	US
Telephone Number	:	561-444-8907
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/28/2023
Last Update Date	:	08/28/2023

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