ELAINE KARBONIK PSYD PA
Agencies at Orange Dr, Fort Lauderdale, FL

License number
Florida PY 6992
Category
Agencies
Type
Community/Behavioral Health
Owner
Name: DR. ELAINE KARBONIK PSYD
Title: PRESIDENT
Phone: (954) 562-3640
Address
Address
5337 Orange Dr, Fort Lauderdale, FL 33314
National Provider ID: 1588017123
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Elaine Karbonik Psyd PA

350 NW 70 Ave, Fort Lauderdale, FL 33317

Industry:
Business Services at Non-Commercial Site, Health Practitioner's Office
Principal, Psychologist:
Elaine H. Karbonik (Principal, Psychologist)

ELAINE KARBONIK, PSY.D., PA

Pompano Beach, FL  -  Fort Lauderdale, FL

Status:
Inactive
Inactive reason:
CANCEL ADM DISS/REV
Registration:
Jun 28, 2006
Inactive since:
Oct 6, 2009
Addresses:
1881 University Dr 104, Pompano Beach, FL 33071 (Physical)
1881 University Dr, Pompano Beach, FL 33071 (Mailing)
10500 NW 5 Mnr, Fort Lauderdale, FL 33324
State ID:
P06000087343
Business type:
Florida Profit Corporation
Principal, Director:
Elaine Hpsy.d. Karbonik Principal, Director, inactive, 1881 University Dr #104, Pompano Beach, FL 33071 (Physical)
Agent:
Elaine Karbonik,1881 University Dr, Pompano Beach, FL 33071 (Physical)
EIN:
208861338

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