Center For Dynamic Well Being Inc | |
7700 Congress Ave 1131 Boca Raton FL 33487-1352 | |
(561) 826-1901 | |
(561) 826-1902 |
Full Name | Center For Dynamic Well Being Inc |
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Speciality | Social Worker |
Location | 7700 Congress Ave, Boca Raton, Florida |
Authorized Official Name and Position | Linda Beth Gaines (PRESIDENT) |
Authorized Official Contact | 5618261901 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Center For Dynamic Well Being Inc 7700 Congress Ave 1131 Boca Raton FL 33487-1352 Ph: (561) 826-1901 | Center For Dynamic Well Being Inc 7700 Congress Ave 1131 Boca Raton FL 33487-1352 Ph: (561) 826-1901 |
NPI Number | 1245341064 |
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Provider Enumeration Date | 08/31/2006 |
Last Update Date | 02/22/2008 |
Medicare PECOS PAC ID | 9032139027 |
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Medicare Enrollment ID | O20051206000457 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245341064 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW7630 (Florida) | Primary |
Provider Name | Linda Bookman |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1235343476 PECOS PAC ID: 0446218564 Enrollment ID: I20041221000621 |
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