| 10th Ave Medical Associates, Llc | |
|
3185 Boutwell Rd Lake Worth FL 33461-2610 | |
| (561) 533-0074 | |
| Not Available |
| Full Name | 10th Ave Medical Associates, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Addiction Psychiatry |
| Location | 3185 Boutwell Rd, Lake Worth, Florida |
| Authorized Official Name and Position | Karen Barlow (PRESIDENT JUPITER PROF DEVELOPMENT) |
| Authorized Official Contact | 5617482889 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 10th Ave Medical Associates, Llc Po Box 7240 Jupiter FL 33468-7240 Ph: (561) 748-2889 | 10th Ave Medical Associates, Llc 3185 Boutwell Rd Lake Worth FL 33461-2610 Ph: (561) 533-0074 |
| NPI Number | 1497066914 |
|---|---|
| Provider Enumeration Date | 06/30/2010 |
| Last Update Date | 10/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497066914 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | ME83014 (Florida) | Primary |
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