Bill Bracker Psyd Pa

LBN: Bill Bracker Psyd Pa
Bill Bracker Psyd Pa is an health care organization with primary practice located at 915 Middle River Drive Suite 307, Fort Lauderdale FL 33304-3560. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Bill Bracker Psyd Pa can be contacted via phone (954) 566-2166, or through Bracker, William via phone 95456621166.

Contact Information

Primary practice address
915 Middle River Drive Suite 307 Fort Lauderdale FL 33304-3560
Phone: (954) 566-2166
Fax: (954) 566-1186
Website:
Map and Directions
Authorized official contact:
Name: Bracker, William PSY.D.
Phone: 95456621166

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X

Profile Details

NPI number 1518107846
LBN Legal business name Bill Bracker Psyd Pa
DBA Doing business as
Authorized official Bracker, William PSY.D.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 26th, 2009
Last updated Oct 15th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518107846 NPPES
Florida Other 0006L BCBS

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