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4332 Forest Hill Blvd, West Palm Beach, FL 33406-5718 | |
(561) 965-2500 | |
(561) 965-0708 |
Full Name | |
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Type | Facility |
Speciality | Physical Medicine & Rehabilitation - Pain Medicine |
Location | 4332 Forest Hill Blvd, West Palm Beach, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366574667 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CH8176 (Florida) | Primary |
2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | (Florida) | Primary |
Provider Name | Jason A Cleveland |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1518937655 PECOS PAC ID: 1658331764 Enrollment ID: I20041013000835 |
Mailing Address | Practice Location Address |
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4332 Forest Hill Blvd, West Palm Beach, FL 33406-5718 Ph: (561) 965-2500 | 4332 Forest Hill Blvd, West Palm Beach, FL 33406-5718 Ph: (561) 965-2500 |