| South Florida Services And Support Inc | |
|
17371 Sw 18th St Miramar FL 33029-5530 | |
| (305) 968-7479 | |
| Not Available |
| Full Name | South Florida Services And Support Inc |
|---|---|
| Speciality | Psychologist |
| Location | 17371 Sw 18th St, Miramar, Florida |
| Authorized Official Name and Position | Victor Astacio (PRESIDENT) |
| Authorized Official Contact | 3059687479 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Florida Services And Support Inc 17371 Sw 18th St Miramar FL 33029-5530 Ph: (305) 968-7479 | South Florida Services And Support Inc 17371 Sw 18th St Miramar FL 33029-5530 Ph: (305) 968-7479 |
| NPI Number | 1427705011 |
|---|---|
| Provider Enumeration Date | 03/03/2022 |
| Last Update Date | 03/03/2022 |
| Certification Date | 03/03/2022 |
| Medicare PECOS PAC ID | 2961897327 |
|---|---|
| Medicare Enrollment ID | O20220322000355 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427705011 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Victor Astacio |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710329636 PECOS PAC ID: 5294120663 Enrollment ID: I20220328000123 |
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