Organization
PSYNCHRONY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEVIANA NENOV M.D., PHD (PRESIDENT)
(954) 983-5330
Entity
Organization
Contact information
Practice address
4700 SHERIDAN ST STE R, HOLLYWOOD, FL 33021-3416
(954) 983-5330
(954) 983-5086
Mailing address
14011 SW 33RD CT, DAVIE, FL 33330-4683
(954) 382-9690
(954) 382-9690
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
ME88835
FL
Other
Enumeration date
11/12/2006
Last updated
08/22/2020
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