Organization
ANGEL CLINICAL THERAPY OF BROWARD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDRA CODECIDO (OWNER)
(786) 663-2822
Entity
Organization
Contact information
Practice address
4961 SW 148TH AVE, DAVIE, FL 33330-2419
(786) 663-2822
Mailing address
4961 SW 148TH AVE, DAVIE, FL 33330-2419
(786) 663-2822
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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