Organization
DACPACS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDRE CARUSO PSY.D (OWNER/CEO)
(954) 800-8600
Entity
Organization
Contact information
Practice address
2312 WILTON DR, 27B, FORT LAUDERDALE, FL 33305
(954) 800-8600
Mailing address
5300 SW 27TH TER, FORT LAUDERDALE, FL 33312-6163
(954) 849-2933
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
9923
FL
Other
Enumeration date
10/19/2017
Last updated
10/19/2017
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