| Debra Goldman Inc. | |
|
221 Greenwich Cir Suite 100 Jupiter FL 33458-2890 | |
| (561) 427-1770 | |
| Not Available |
| Full Name | Debra Goldman Inc. |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 221 Greenwich Cir, Jupiter, Florida |
| Authorized Official Name and Position | Debra Joy Goldman (PRESIDENT) |
| Authorized Official Contact | 5616028041 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Debra Goldman Inc. 395 Aster St Palm Beach Gardens FL 33410-4802 Ph: (561) 602-8041 | Debra Goldman Inc. 221 Greenwich Cir Suite 100 Jupiter FL 33458-2890 Ph: (561) 427-1770 |
| NPI Number | 1528439874 |
|---|---|
| Provider Enumeration Date | 10/13/2015 |
| Last Update Date | 10/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528439874 | NPI | - | NPPES |
| 1811046717 | Other | FL | INDIVIDUAL NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | MH 2654 (Florida) | Primary |
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