FELICIA ANN TRALONGO, PSY.D., P.A.
Agencies at University Dr, Pompano Beach, FL

License number
Florida PY5671
Category
Agencies
Type
Community/Behavioral Health
Owner
Name: FELICIA TRALONGO
Title: OWNER
Phone: (954) 401-0868
Address
Address
2855 N University Dr, Pompano Beach, FL 33065
National Provider ID: 1043600646
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Felicia Ann Tralongo, Psy.D, PA

Pompano Beach, FL

Inactive reason:
CANCEL ADM DISS/REV
Registration:
Sep 17, 1997
Inactive since:
Oct 21, 2003
Addresses:
1881 N University Dr, Pompano Beach, FL 33071
1890 N University Dr, Pompano Beach, FL 33071
2855 N University Dr, Pompano Beach, FL 33065
1725 N University Dr, Pompano Beach, FL 33071
State ID:
P97000081385
Business type:
Florida Profit Corporation
Presidents:
Anne Davies (Psychologist),Felicia A. Tralongo (President)
Agent:
Tralongo, Felicia,2855 N University Dr #410, Pompano Beach, FL 33065 (Physical)
EIN:
65-0786010

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