| Access Comprehensive And Welness Center, Llc | |
|
2500 Quincy Ave Fort Pierce FL 34947-4766 | |
| (561) 402-2589 | |
| Not Available |
| Full Name | Access Comprehensive And Welness Center, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2500 Quincy Ave, Fort Pierce, Florida |
| Authorized Official Name and Position | Rahonie Persaud Evans (MANAGER) |
| Authorized Official Contact | 5614022589 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Access Comprehensive And Welness Center, Llc 3580 S Ocean Blvd Apt 2a Palm Beach FL 33480-5731 Ph: (561) 402-2589 | Access Comprehensive And Welness Center, Llc 2500 Quincy Ave Fort Pierce FL 34947-4766 Ph: (561) 402-2589 |
| NPI Number | 1952024390 |
|---|---|
| Provider Enumeration Date | 09/21/2022 |
| Last Update Date | 09/21/2022 |
| Certification Date | 09/20/2022 |
| Medicare PECOS PAC ID | 8921475443 |
|---|---|
| Medicare Enrollment ID | O20221111002246 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952024390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Rahonie Persaud Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861625089 PECOS PAC ID: 4082885173 Enrollment ID: I20110921000607 |
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