Provider Information for 1619288412
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Mr. ALBERTO AVI TCAH LMHC
Sex: Male
NPI: 1619288412
Last Updated: 2010-06-25
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1619288412 | ||||||||
| Enumeration Date | 2010-06-25 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 2650 SOUTH COURSE DRIVE SUITE 503 POMPANO BEACH, FL 33069-3985 United States Phone: 954-422-2411 | Fax:954-984-4900 | ||||||||
| Primary Practice Address | 915 MIDDLE RIVER DRIVE SUITE 204 FORT LAUDERDALE, FL 33304-3544 United States Phone: 954-566-0388 | Fax:954-561-8331 | ||||||||
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