| M.a.d. For You Inc | |
|
1900 N University Dr Ste 103 Pembroke Pines FL 33024 | |
| (954) 435-3683 | |
| (954) 435-2263 |
| Full Name | M.a.d. For You Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1900 N University Dr Ste 103, Pembroke Pines, Florida |
| Authorized Official Name and Position | Margret Rose Camille Dellosso (PRESIDENT) |
| Authorized Official Contact | 9544353683 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| M.a.d. For You Inc 1900 N University Dr Ste 103 Pembroke Pines FL 33024-3618 Ph: (954) 435-3683 | M.a.d. For You Inc 1900 N University Dr Ste 103 Pembroke Pines FL 33024 Ph: (954) 435-3683 |
| NPI Number | 1225085343 |
|---|---|
| Provider Enumeration Date | 05/27/2006 |
| Last Update Date | 08/21/2018 |
| Medicare PECOS PAC ID | 4082620729 |
|---|---|
| Medicare Enrollment ID | O20060303000545 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225085343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Karen A Bethel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437248788 PECOS PAC ID: 7416848932 Enrollment ID: I20040323001800 |
| Provider Name | Margret Rose C Dellosso |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528157864 PECOS PAC ID: 4082626650 Enrollment ID: I20070925000240 |
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