| Carole Cakov Psydpa | |
|
1000 5th St Suite 228 Miami Beach FL 33139-6508 | |
| (305) 776-2457 | |
| (305) 704-3092 |
| Full Name | Carole Cakov Psydpa |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 1000 5th St, Miami Beach, Florida |
| Authorized Official Name and Position | Carole Cakov (PRESIDENT) |
| Authorized Official Contact | 3057762457 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carole Cakov Psydpa 1000 5th St Suite 228 Miami Beach FL 33139-6508 Ph: (305) 776-2457 | Carole Cakov Psydpa 1000 5th St Suite 228 Miami Beach FL 33139-6508 Ph: (305) 776-2457 |
| NPI Number | 1518137744 |
|---|---|
| Provider Enumeration Date | 03/04/2008 |
| Last Update Date | 02/23/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518137744 | NPI | - | NPPES |
| 688178579 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | PY6837 (Florida) | Primary |
| 103TC0700X | Psychologist - Clinical | PY6837 (Florida) | Secondary |
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