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NPI Code Detail

MEDICARE: VICTORIA CLINE

MEDICARE:   VICTORIA  CLINE
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
1106H00000XMarriage & Family Therapist4451FL

General Provider Information

NPI Number : 1841130887
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA CLINE
Provider Business Mailing Address
First Line : 501 NE 5TH TER APT 320
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33301-1794
Country : US
Telephone Number : 864-986-2086
Fax Number :
Provider Business Practice Location Address
First Line : 7710 NW 71ST CT STE 206
Second Line :
City : TAMARAC
State : FL
Zip : 33321-2931
Country : US
Telephone Number : 754-999-0716
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2026
Last Update Date : 03/30/2026

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Directions to “ VICTORIA CLINE ” Practice Location

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