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Organization

AMI KIDS GREATER FORT LAUDERDALE

Active
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Organization

AMI KIDS GREATER FORT LAUDERDALE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LUIS CERUTI (EXECUTIVE DIRECTOR)
(954) 764-2733
Entity
Organization

Contact information

Practice address
3220 SW 4TH AVE, FORT LAUDERDALE, FL 33315-3019
(954) 764-2733
(954) 764-3128
Mailing address
3220 SW 4TH AVE, FORT LAUDERDALE, FL 33315-3019
(954) 764-2733
(954) 764-3128

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
338756
FL

Other

Enumeration date
07/09/2012
Last updated
07/09/2012
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