Organization
ANTONIO R. VIRSIDA, PH.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTONIO R. VIRSIDA PH.D. (PSYCHOLGIST/PRESIDENT)
(561) 338-0902
Entity
Organization
Contact information
Practice address
370 CAMINO GARDENS BLVD, 106, BOCA RATON, FL 33432-5816
(561) 338-0902
(561) 338-0433
Mailing address
370 CAMINO GARDENS BLVD, 106, BOCA RATON, FL 33432-5816
(561) 338-0902
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY00003255
FL
Other
Enumeration date
01/31/2012
Last updated
01/31/2012
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