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Individual

DR. JUAN RICARDO FELICIANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
11120 S CROWN WAY STE 1, WELLINGTON, FL 33414
(561) 790-1191
Mailing address
3002 HAMBLIN WAY, WELLINGTON, FL 33414-3424
(561) 685-0490

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH7464
FL
103T00000X
Psychologist
PY8938
FL
103TC0700X
Clinical Psychologist
Primary
PY8938
FL

Other

Enumeration date
03/29/2007
Last updated
06/08/2018
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