Individual
JADA SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1150 N 35TH AVENUE, STE 590, HOLLYWOOD, FL 33021
(954) 265-9000
Mailing address
2900 CORPORATE WAY, DOOR D, MIRAMAR, FL 33025-3925
(954) 276-5685
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY9717
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PY9717
FLORIDA DOH
FL
Enumeration date
10/13/2016
Last updated
03/18/2021
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