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Individual

DR. CARLOS EDUARDO PLASENCIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD LMHC

Contact information

Practice address
10406 TAFT ST, PEMBROKE PINES, FL 33026-2819
(954) 436-3880
(954) 436-3881
Mailing address
PO BOX 277535, MIRAMAR, FL 33027-7535
(954) 436-3880
(954) 436-3881

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH0002618
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000108400
FL
05
101123800
FL
Enumeration date
11/08/2005
Last updated
03/01/2024
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