Organization
KARASTAMATIS INSTITUTE FOR CLINICAL HYPNOSIS & HOLISTIC TREATMENTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT ALONSO (OWNER)
(305) 200-3417
Entity
Organization
Contact information
Practice address
14707 S DIXIE HWY, SUITE 104, PALMETTO BAY, FL 33176-7948
(914) 646-4284
Mailing address
14707 S DIXIE HWY, SUITE 104, PALMETTO BAY, FL 33176-7948
(914) 646-4284
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
L29573925
FL
103TC0700X
Clinical Psychologist
Primary
L29573952
FL
103TP0814X
Psychoanalysis Psychologist
L29573925
FL
Other
Enumeration date
09/24/2016
Last updated
03/03/2017
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