| Clear Lake Medical Associates Inc. | |
|
200 Congress Park Dr Suite 100 Delray Beach FL 33445-4609 | |
| (561) 361-6608 | |
| (561) 361-9857 |
| Full Name | Clear Lake Medical Associates Inc. |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 200 Congress Park Dr, Delray Beach, Florida |
| Authorized Official Name and Position | Patrick S Kirse (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 5613616608 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clear Lake Medical Associates Inc. 200 Congress Park Dr Suite 100 Delray Beach FL 33445-4609 Ph: (561) 361-6608 | Clear Lake Medical Associates Inc. 200 Congress Park Dr Suite 100 Delray Beach FL 33445-4609 Ph: (561) 361-6608 |
| NPI Number | 1689640369 |
|---|---|
| Provider Enumeration Date | 02/23/2006 |
| Last Update Date | 06/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689640369 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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