Provider Demographics
NPI:1255948782
Name:VOLTAIRE, RONALD STEPHEN (IMT3335)
Entity type:Individual
Prefix:
First Name:RONALD
Middle Name:STEPHEN
Last Name:VOLTAIRE
Suffix:
Gender:M
Credentials:IMT3335
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 S PINE ISLAND RD STE 224
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-2620
Mailing Address - Country:US
Mailing Address - Phone:754-801-9750
Mailing Address - Fax:954-237-7356
Practice Address - Street 1:300 S PINE ISLAND RD STE 224
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-2620
Practice Address - Country:US
Practice Address - Phone:754-801-9750
Practice Address - Fax:954-237-7356
Is Sole Proprietor?:No
Enumeration Date:2020-09-29
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist