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Organization

CAROLE CAKOV PSYDPA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CAROLE CAKOV PSYD (PRESIDENT)
(305) 776-2457
Entity
Organization

Contact information

Practice address
1000 5TH ST, SUITE 228, MIAMI BEACH, FL 33139-6508
(305) 776-2457
(305) 704-3092
Mailing address
1000 5TH ST, SUITE 228, MIAMI BEACH, FL 33139-6508
(305) 776-2457
(305) 704-3092

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY6837
FL
103TC0700X
Clinical Psychologist
PY6837
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
688178579
FL
Enumeration date
03/04/2008
Last updated
02/23/2011
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