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5408 East Ave West Palm Beach FL 33407 | |
| (561) 404-1749 | |
| (561) 337-2335 |
| Full Name | |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 5408 East Ave, West Palm Beach, Florida |
| Authorized Official Name and Position | Alexis Altier (CEO) |
| Authorized Official Contact | 5614041749 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
5408 East Ave West Palm Beach FL 33407-2344 Ph: (561) 404-1749 | 5408 East Ave West Palm Beach FL 33407 Ph: (561) 404-1749 |
| NPI Number | 1881792745 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 03/16/2021 |
| Certification Date | 03/16/2021 |
| Medicare PECOS PAC ID | 4082966502 |
|---|---|
| Medicare Enrollment ID | O20210309000409 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881792745 | NPI | - | NPPES |
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