| Memorial Division Of Psychiatry Services | |
|
3440 Hollywood Blvd Ste 360 Hollywood FL 33021-6934 | |
| (954) 276-9240 | |
| (954) 276-0103 |
| Full Name | Memorial Division Of Psychiatry Services |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3440 Hollywood Blvd Ste 360, Hollywood, Florida |
| Authorized Official Name and Position | Esther Surujon (CFO MPG AND MPC) |
| Authorized Official Contact | 9542656677 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Memorial Division Of Psychiatry Services 2900 Corporate Way Door D Miramar FL 33025-3925 Ph: (954) 276-5685 | Memorial Division Of Psychiatry Services 3440 Hollywood Blvd Ste 360 Hollywood FL 33021-6934 Ph: (954) 276-9240 |
| NPI Number | 1417491127 |
|---|---|
| Provider Enumeration Date | 12/14/2016 |
| Last Update Date | 06/21/2023 |
| Certification Date | 06/21/2023 |
| Medicare PECOS PAC ID | 8123927373 |
|---|---|
| Medicare Enrollment ID | O20170321001407 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417491127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Jorge L Sotelo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679511505 PECOS PAC ID: 5890730873 Enrollment ID: I20071207000014 |
| Provider Name | Helga Tina Jules |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437308558 PECOS PAC ID: 3072785591 Enrollment ID: I20111006000225 |
| Provider Name | Rhian E Purdy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750645610 PECOS PAC ID: 1759678220 Enrollment ID: I20160927001591 |
| Provider Name | Zina Meriden |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790943496 PECOS PAC ID: 5698924918 Enrollment ID: I20180307001202 |
| Provider Name | Gil Abramovici |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972824985 PECOS PAC ID: 0345532966 Enrollment ID: I20180710000358 |
| Provider Name | Omair H Abbasi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386875938 PECOS PAC ID: 7911127923 Enrollment ID: I20210702001880 |
| Provider Name | Joshua Delaney |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932630704 PECOS PAC ID: 7517362395 Enrollment ID: I20210817000853 |
| Provider Name | Alejandro Enrique Rodulfo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093374183 PECOS PAC ID: 3274867981 Enrollment ID: I20231106003169 |
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