Plasencia, Carlos Eduardo

Plasencia, Carlos Eduardo is an individual health care provider with primary practice located at 10406 Taft St , Pembroke Pines FL 33026-2819. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Plasencia, Carlos Eduardo can be contacted via phone (954) 436-3880.

Contact Information

Primary practice address
10406 Taft St Pembroke Pines FL 33026-2819
Phone: (954) 436-3880
Fax: (954) 436-3881
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH0002618 Florida

Profile Details

NPI number 1588645436
LBN Legal business name Plasencia, Carlos Eduardo
Credentials PHD LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Mar 1st, 2024 - about 6 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1588645436 NPPES
Florida MEDICAID 101123800
Florida MEDICAID 000108400

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