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Individual

ARTHUR E BETANCOURT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSYD

Contact information

Practice address
1611 NW 12TH AVE, MIAMI, FL 33101-6960
(305) 243-6837
(305) 243-8470
Mailing address
1611 NW 12TH AVE, BOX 016960 M851, MIAMI, FL 33101-6960
(305) 243-6837
(305) 243-8470

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY5072
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2104563-00
FL
Enumeration date
08/01/2006
Last updated
04/23/2009
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