Organization
DR CARMINE PECORARO PSY D & ASSOCIATES P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUDITH ANN PECORARO BS, CBHT (VICE PRESIDENT)
(954) 829-4644
Entity
Organization
Contact information
Practice address
915 MIDDLE RIVER DR, 317, FT LAUDERDALE, FL 33304-3544
(954) 463-2723
(954) 463-1687
Mailing address
915 MIDDLE RIVER DR, 317, FT LAUDERDALE, FL 33304-3544
(954) 463-2723
(954) 463-1687
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PY7477
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AF405
MEDICARE PTAN
FL
Enumeration date
04/23/2007
Last updated
04/08/2008
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