National Provider Identifier Database

LARACUENTE HEALTHCARE ASSOCIATES
Psychiatric/Mental Health, Child & Family


Contact Information

LARACUENTE HEALTHCARE ASSOCIATES
1250 E HALLANDALE BEACH BLVD STE 1004
HALLANDALE BEACH, FL33009-4636
Phone: 954-451-1743
Fax: 954-838-5336
Website:
Specialty Taxonomy Code
* Psychiatric/Mental Health, Child & Family 364SP0810X
Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for LARACUENTE HEALTHCARE ASSOCIATES

NPI Number 1184397606
Legal business name
LBN
LARACUENTE HEALTHCARE ASSOCIATES
Authorized official FERNANDO LARACUENTE - (CLINIC DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 07/29/2021
Last updated 04/24/2024 - About 2 years ago
Sole proprietor1 Not specified
Identifiers
  • FL Medicaid: 11094077
  • FL Medicaid: 112571000

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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