| Dr Stanley And Pearl Goodman Jfs Of Broward County Inc | |
|
5890 S Pine Island Rd Ste 201 Davie FL 33328-5936 | |
| (954) 370-2140 | |
| (954) 916-1252 |
| Full Name | Dr Stanley And Pearl Goodman Jfs Of Broward County Inc |
|---|---|
| Speciality | Social Worker |
| Location | 5890 S Pine Island Rd Ste 201, Davie, Florida |
| Authorized Official Name and Position | Randy Coleman (PRESIDENT & CEO) |
| Authorized Official Contact | 9543702140 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stanley And Pearl Goodman Jfs Of Broward County Inc 5890 S Pine Island Rd Ste 201 Davie FL 33328-5936 Ph: (954) 370-2140 | Dr Stanley And Pearl Goodman Jfs Of Broward County Inc 5890 S Pine Island Rd Ste 201 Davie FL 33328-5936 Ph: (954) 370-2140 |
| NPI Number | 1760463236 |
|---|---|
| Provider Enumeration Date | 11/10/2005 |
| Last Update Date | 09/20/2024 |
| Certification Date | 09/20/2024 |
| Medicare PECOS PAC ID | 1850352618 |
|---|---|
| Medicare Enrollment ID | O20041025000675 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760463236 | NPI | - | NPPES |
| Provider Name | Orly Doron |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003012717 PECOS PAC ID: 4880779115 Enrollment ID: I20080311000559 |
| Provider Name | Sharon Rabinovitz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508889981 PECOS PAC ID: 9739204678 Enrollment ID: I20100915000443 |
| Provider Name | Deborah C Fox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629092341 PECOS PAC ID: 9133384100 Enrollment ID: I20120626000520 |
| Provider Name | Marlana L Staats |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245897818 PECOS PAC ID: 6103252689 Enrollment ID: I20200131000306 |
| Provider Name | Melissa E Oliver |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518497478 PECOS PAC ID: 0345640181 Enrollment ID: I20210615002854 |
| Provider Name | Amanda N Delacruz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053041764 PECOS PAC ID: 7214318492 Enrollment ID: I20220719002929 |
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