Visalli, Marie

Visalli, Marie is an individual health care provider with primary practice located at 2700 W Cypress Creek Rd , Fort Lauderdale FL 33309-1744. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Visalli, Marie can be contacted via phone (954) 514-7569.

Contact Information

Primary practice address
2700 W Cypress Creek Rd Fort Lauderdale FL 33309-1744
Fax: (954) 514-7569
Website:

Health care specialties

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

Profile Details

NPI number 1629122247
LBN Legal business name Visalli, Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Feb 24th, 2024 - about 10 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 1629122247 NPPES
Florida MEDICAID 762320800

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