Comprehensive Outpatient Recovery, Treatment & Evaluation, Inc. | |
1200 N Federal Hwy Ste 200 Boca Raton FL 33432-2813 | |
(561) 279-9295 | |
Not Available |
Full Name | Comprehensive Outpatient Recovery, Treatment & Evaluation, Inc. |
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Speciality | Clinic/Center |
Location | 1200 N Federal Hwy Ste 200, Boca Raton, Florida |
Authorized Official Name and Position | Scott Michael Costanza (CLINICAL DIRECTOR) |
Authorized Official Contact | 5612799295 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Comprehensive Outpatient Recovery, Treatment & Evaluation, Inc. 1200 N Federal Hwy Ste 200 Boca Raton FL 33432-2813 Ph: (561) 279-9295 | Comprehensive Outpatient Recovery, Treatment & Evaluation, Inc. 1200 N Federal Hwy Ste 200 Boca Raton FL 33432-2813 Ph: (561) 279-9295 |
NPI Number | 1134373566 |
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Provider Enumeration Date | 11/12/2008 |
Last Update Date | 06/05/2020 |
Certification Date | 06/05/2020 |
Medicare PECOS PAC ID | 6204252174 |
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Medicare Enrollment ID | O20200824000116 |
Identifier | Type | State | Issuer |
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1134373566 | NPI | - | NPPES |
Provider Name | Scott M Costanza |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1336354752 PECOS PAC ID: 7416043021 Enrollment ID: I20071012000179 |
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