Individual
LAURA H NEUSTATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 E COMMERCIAL BLVD, SUITE 202, FT LAUDERDALE, FL 33308-3737
(954) 351-5840
(954) 772-5739
Mailing address
1900 E COMMERCIAL BLVD, SUITE 202, FT LAUDERDALE, FL 33308-3737
(954) 351-5840
(954) 772-5739
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
ME63867
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
377459700
—
FL
Enumeration date
08/14/2006
Last updated
07/08/2007
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