| A Different Perspective, Llc | |
|
17900 Nw 5th St Suite 201 Pembroke Pines FL 33029-2808 | |
| (954) 494-6813 | |
| Not Available |
| Full Name | A Different Perspective, Llc |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 17900 Nw 5th St, Pembroke Pines, Florida |
| Authorized Official Name and Position | Rafael J Botta (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 9544946813 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Different Perspective, Llc 17900 Nw 5th St Suite 201 Pembroke Pines FL 33029-2808 Ph: (954) 494-6813 | A Different Perspective, Llc 17900 Nw 5th St Suite 201 Pembroke Pines FL 33029-2808 Ph: (954) 494-6813 |
| NPI Number | 1801152616 |
|---|---|
| Provider Enumeration Date | 04/05/2012 |
| Last Update Date | 04/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801152616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | PY7746 (Florida) | Primary |
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