MEDICARE: CARLOS ABEL SATULOVSKY MD

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	2084P0800X	Psychiatry Physician	ME93652	FL
2	2084P0804X	Child & Adolescent Psychiatry Physician	ME93652	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	:	1790773281
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLOS ABEL SATULOVSKY MD

Provider Business Mailing Address
First Line	:	1250 WILEY ST
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33019-2248
Country	:	US
Telephone Number	:	954-961-1500
Fax Number	:	954-961-7942

Provider Business Practice Location Address
First Line	:	330 N FEDERAL HWY # 2&3
Second Line	:
City	:	LAKE PARK
State	:	FL
Zip	:	33403-3531
Country	:	US
Telephone Number	:	954-529-3935
Fax Number	:

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

Provider Enumeration Date	:	10/10/2005
Last Update Date	:	08/13/2025

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