Organization · Type 2 NPI
Center for Identity Development South Ltd Inc
Mental Health Clinic/Center (Including Community Mental Health Center) · Coconut Creek, FL
NPI number
1295894301
Active
Practice location
4855 W Hillsboro Blvd, Suite B1
Coconut Creek, FL 33073-4356
Fax (954) 977-4978
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
13 other providers at this address
- Frank Lavernia MD PAInternal Medicine Physician Coconut Creek, FL NPI 1376778720
- Heartland Home Health Care Services LLCHome Health Agency Coconut Creek, FL NPI 1417909417
- Mario Favilli MD PAFamily Medicine Physician Coconut Creek, FL NPI 1720274764
- Michele Lanese IncClinical Social Worker Coconut Creek, FL NPI 1437331915
- Zoyla Almeida MD PAGynecologic Oncology Physician Coconut Creek, FL NPI 1952636094
- Christine I. Zullo, PA-CPhysician Assistant Coconut Creek, FL NPI 1750548343
- Eric Jay Lullove, D.P.M.Foot & Ankle Surgery Podiatrist Coconut Creek, FL NPI 1104811744
- George Blanton, DOFamily Medicine Physician Coconut Creek, FL NPI 1730168683
- Mario Noel Favilli, MDFamily Medicine Physician Coconut Creek, FL NPI 1730304221
- Michele Linda Lanese, MSW LCSWSocial Worker Coconut Creek, FL NPI 1942395850
- Naicka D. Mathias, PA-CPhysician Assistant Coconut Creek, FL NPI 1174925879
- Richard Pitera, MDOphthalmology Physician Coconut Creek, FL NPI 1821040585
Other mental health clinic/center (including community mental health center) providers in Coconut Creek
About NPI 1295894301
Center for Identity Development South Ltd Inc's National Provider Identifier is 1295894301, issued on Dec 6, 2006. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Coconut Creek, FL. The record was last updated on Jul 29, 2014.