Provider Information for 1386775617
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Dr. ROBERT J. CIPRIANO Jr. Psy.D.
Sex: Male
NPI: 1386775617
Last Updated: 2019-10-21
Certification Date:
Certification Date:
Details
Name | Value | ||||||||||||
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NPI | 1386775617 | ||||||||||||
Enumeration Date | 2007-03-08 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | YES | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 10031 PINES BLVD STE 240 PEMBROKE PINES, FL 33024-6180 United States Phone: 305-528-7309 | Fax: | ||||||||||||
Primary Practice Address | 10031 PINES BOULEVARD (SUITE 240) PEMBROKE PINES, FL 33024-6180 United States Phone: 305-528-7309 | Fax: | ||||||||||||
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