| Avid Intellectual Inc. | |
|
6587 Boulevard Of Champions North Lauderdale FL 33068-3811 | |
| (305) 692-0978 | |
| Not Available |
| Full Name | Avid Intellectual Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6587 Boulevard Of Champions, North Lauderdale, Florida |
| Authorized Official Name and Position | Candace Druumond (COUNSELOR/MENTAL HEALTH) |
| Authorized Official Contact | 3056920978 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avid Intellectual Inc. 6587 Boulevard Of Champions North Lauderdale FL 33068-3811 Ph: (305) 692-0978 | Avid Intellectual Inc. 6587 Boulevard Of Champions North Lauderdale FL 33068-3811 Ph: (305) 692-0978 |
| NPI Number | 1730784406 |
|---|---|
| Provider Enumeration Date | 12/01/2020 |
| Last Update Date | 12/01/2020 |
| Certification Date | 12/01/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730784406 | NPI | - | NPPES |
| 1985 | Other | YEAR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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