Individual
DAVID MASEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3501 N 30TH TER, HOLLYWOOD, FL 33021-2602
(786) 267-7362
Mailing address
3501 N 30TH TER, HOLLYWOOD, FL 33021-2602
(786) 267-7362
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/24/2018
Last updated
08/24/2018
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