| Beachside Medical Care Llc | |
|
1101 54th St West Palm Beach FL 33407-2419 | |
| (561) 365-3758 | |
| (772) 448-4029 |
| Full Name | Beachside Medical Care Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1101 54th St, West Palm Beach, Florida |
| Authorized Official Name and Position | Annemarie Sincavage (CFO) |
| Authorized Official Contact | 5613653758 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beachside Medical Care Llc 1101 54th St West Palm Beach FL 33407-2419 Ph: (561) 365-3758 | Beachside Medical Care Llc 1101 54th St West Palm Beach FL 33407-2419 Ph: (561) 365-3758 |
| NPI Number | 1821541483 |
|---|---|
| Provider Enumeration Date | 08/01/2016 |
| Last Update Date | 09/14/2021 |
| Certification Date | 09/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821541483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME57053 (Florida) | Primary |
| 364SF0001X | Clinical Nurse Specialist - Family Health | ARNP3333482 (Florida) | Secondary |
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