Individual
MICHAEL ANTHONY PLASENCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
10406 TAFT ST, PEMBROKE PINES, FL 33026-2819
(954) 436-3880
(954) 436-3881
Mailing address
PO BOX 277535, MIRAMAR, FL 33027-7535
(954) 559-9201
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY9712
FL
Other
Enumeration date
12/02/2016
Last updated
02/06/2017
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