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2677 Forest Hill Blvd Ste 109 West Palm Beach FL 33406-5941 | |
| (561) 433-5050 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2677 Forest Hill Blvd Ste 109, West Palm Beach, Florida |
| Authorized Official Name and Position | Annia Torres (PRESIDENT) |
| Authorized Official Contact | 5613107688 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
2677 Forest Hill Blvd Ste 109 West Palm Beach FL 33406-5941 Ph: (561) 433-5050 | 2677 Forest Hill Blvd Ste 109 West Palm Beach FL 33406-5941 Ph: (561) 433-5050 |
| NPI Number | 1457025967 |
|---|---|
| Provider Enumeration Date | 08/07/2021 |
| Last Update Date | 02/26/2024 |
| Certification Date | 02/26/2024 |
| Medicare PECOS PAC ID | 1759793136 |
|---|---|
| Medicare Enrollment ID | O20201208002170 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457025967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| Provider Name | Kevin Fitzgerald |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891923744 PECOS PAC ID: 6204980717 Enrollment ID: I20160822001548 |
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