| |
4200 Community Drive Apt 907 West Palm Beach FL 33409 | |
(540) 654-0179 | |
Not Available |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 4200 Community Drive, West Palm Beach, Florida |
Authorized Official Name and Position | Jeff Jackie Zephirin (BEHAVIOR TECHNICIAN) |
Authorized Official Contact | 5406540179 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4200 Community Dr West Palm Beach FL 33409-2742 Ph: () - | 4200 Community Drive Apt 907 West Palm Beach FL 33409 Ph: (540) 654-0179 |
NPI Number | 1205675089 |
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Provider Enumeration Date | 05/22/2024 |
Last Update Date | 09/19/2024 |
Certification Date | 09/13/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205675089 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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