Organization
PSYCHOTHERAPEUTIC SERVICES OF FLORIDA, IN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL COOPER CPA (CHIEF FINANICIAL OFFICER)
(410) 778-9114
Entity
Organization
Contact information
Practice address
8200 S PALM DR, PEMBROKE PINES, FL 33025-4532
(954) 364-4404
Mailing address
870 HIGH ST, SUITE 2, CHESTERTOWN, MD 21620-3909
(410) 778-9114
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
163W00000X
Registered Nurse
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1760461826
DR. SANTO NPI NUMBER
FL
Enumeration date
05/26/2006
Last updated
08/28/2007
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