MEDICARE: BRANDI BIEBER MSW

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	1041C0700X	Clinical Social Worker	SW 8243	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	:	1659437390
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRANDI BIEBER MSW

Provider Business Mailing Address
First Line	:	2200 S CYPRESS BEND DR
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33069-5633
Country	:	US
Telephone Number	:	407-491-0836
Fax Number	:

Provider Business Practice Location Address
First Line	:	1515N UNIVERSITY DR 116A
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33071-6084
Country	:	US
Telephone Number	:	954-593-7027
Fax Number	:

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

Provider Enumeration Date	:	12/28/2006
Last Update Date	:	09/06/2015

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