Organization
LILIAN PFEIFFER LCSW P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LILIAN PFEIFFER LCSW (PRESIDENT)
(954) 801-5312
Entity
Organization
Contact information
Practice address
600 N HIATUS RD, SUITE 201, PEMBROKE PINES, FL 33026-5207
(954) 801-5312
(954) 212-0477
Mailing address
1950 NW 107TH AVE, PEMBROKE PINES, FL 33026-2318
(954) 801-5312
(954) 212-0477
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
SW 4823
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E0496A
MEDICARE PTAN
FL
Enumeration date
11/08/2012
Last updated
11/08/2012
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