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Individual

DANIEL ALEJANDRO VICTORIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
440 SAWGRASS CORPORATE PKWY, SUNRISE, FL 33325-6244
(954) 745-1112
(954) 745-1120
Mailing address
8165 SW 118TH CT, MIAMI, FL 33183-3805
(305) 846-6616

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
697578
FL
Enumeration date
01/09/2018
Last updated
06/16/2018
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