Kaufman, Ilisa Kim
Kaufman, Ilisa Kim is an sole proprietor health care provider with primary practice located at 2699 Stirling Rd Suite B-305, Ft Lauderdale FL 33312-6517. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kaufman, Ilisa Kim can be contacted via phone (954) 963-5363.Contact Information
Primary practice address
2699 Stirling Rd Suite B-305
Ft Lauderdale FL 33312-6517
Phone: (954) 963-5363
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY 7363 | Florida |
Profile Details
| NPI number | 1730239898 |
|---|---|
| LBN Legal business name | Kaufman, Ilisa Kim |
| Credentials | PSY.D |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 11th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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