Organization
SUTA CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANISSA PFANNENSTIEL (PRESTIDENT)
(786) 556-7599
Entity
Organization
Contact information
Practice address
2106 TYLER ST, HOLLYWOOD, FL 33020-6717
(786) 566-7599
Mailing address
2106 TYLER ST, HOLLYWOOD, FL 33020-6717
(786) 566-7599
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
SW 8891
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134305303
NPI INDIVIDUAL
FL
Enumeration date
01/18/2008
Last updated
07/13/2009
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