Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker |
NPI | 1003296468 |
---|---|
Provider Name | Michael Pfeiffer |
First Address | Tamarac, FL 33351-4325 |
Second Address | Tamarac, FL 33351-4325 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2015 |
Last Update Date | 01/06/2015 |