Individual
DR. VICTOR ASTACIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
17371 SW 18TH ST, MIRAMAR, FL 33029-5530
(305) 968-7479
Mailing address
17371 SW 18TH ST, MIRAMAR, FL 33029-5530
(305) 968-7479
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
7570
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103K00000X
—
FL
01
—
PSY 7570
LICENSED PSYCHOLOGIST
FL
Enumeration date
07/19/2013
Last updated
03/13/2025
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