Provider Demographics
NPI:1649588757
Name:INFINITE BEHAVIORAL HEALTH
Entity Type:Organization
Organization Name:INFINITE BEHAVIORAL HEALTH
Other - Org Name:JULIE D. BRUNO, P.A.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:DARA
Authorized Official - Last Name:BRUNO
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:954-881-1129
Mailing Address - Street 1:2421 HOLLYWOOD BLVD
Mailing Address - Street 2:SUITE 1 AND 2
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33020-6605
Mailing Address - Country:US
Mailing Address - Phone:954-923-9111
Mailing Address - Fax:954-923-9190
Practice Address - Street 1:2303 HOLLYWOOD BLVD
Practice Address - Street 2:SUITE 1 AND 2
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-6711
Practice Address - Country:US
Practice Address - Phone:954-309-5667
Practice Address - Fax:305-935-3172
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-23
Last Update Date:2013-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY7670103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty