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7721 N Military Trl Ste 1-2 West Palm Beach FL 33410-7429 | |
| (561) 557-5052 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 7721 N Military Trl Ste 1-2, West Palm Beach, Florida |
| Authorized Official Name and Position | Willy Philias (PSYCHIATRIST) |
| Authorized Official Contact | 7864233028 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
2650 Lake Shore Dr Unit 502 Riviera Beach FL 33404-4607 Ph: (786) 423-3028 | 7721 N Military Trl Ste 1-2 West Palm Beach FL 33410-7429 Ph: (561) 557-5052 |
| NPI Number | 1609305598 |
|---|---|
| Provider Enumeration Date | 06/05/2017 |
| Last Update Date | 08/02/2021 |
| Certification Date | 08/02/2021 |
| Medicare PECOS PAC ID | 1658644281 |
|---|---|
| Medicare Enrollment ID | O20180307000523 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609305598 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME123508 (Florida) | Primary |
| Provider Name | Willy Philias |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720336373 PECOS PAC ID: 7214249929 Enrollment ID: I20150716003136 |
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