| Lilian Pfeiffer Lcsw P.a. | |
|
600 N Hiatus Rd Suite 201 Pembroke Pines FL 33026-5207 | |
| (954) 801-5312 | |
| (954) 212-0477 |
| Full Name | Lilian Pfeiffer Lcsw P.a. |
|---|---|
| Speciality | Clinic/Center |
| Location | 600 N Hiatus Rd, Pembroke Pines, Florida |
| Authorized Official Name and Position | Lilian Pfeiffer (PRESIDENT) |
| Authorized Official Contact | 9548015312 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lilian Pfeiffer Lcsw P.a. 1950 Nw 107th Ave Pembroke Pines FL 33026-2318 Ph: (954) 801-5312 | Lilian Pfeiffer Lcsw P.a. 600 N Hiatus Rd Suite 201 Pembroke Pines FL 33026-5207 Ph: (954) 801-5312 |
| NPI Number | 1639423890 |
|---|---|
| Provider Enumeration Date | 11/08/2012 |
| Last Update Date | 11/08/2012 |
| Medicare PECOS PAC ID | 8022254010 |
|---|---|
| Medicare Enrollment ID | O20130417000506 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639423890 | NPI | - | NPPES |
| E0496A | Other | FL | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | SW 4823 (Florida) | Primary |
| Provider Name | Lilian Pfeiffer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477697399 PECOS PAC ID: 8628028651 Enrollment ID: I20050131000734 |
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