| Devote Llc | |
|
11976 Castle Pines Ln Waldorf MD 20602-3174 | |
| (240) 898-5082 | |
| Not Available |
| Full Name | Devote Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 11976 Castle Pines Ln, Waldorf, Maryland |
| Authorized Official Name and Position | Francoise Sandrine Essama Tabe (OWNER) |
| Authorized Official Contact | 2408985082 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Devote Llc 11976 Castle Pines Ln Waldorf MD 20602-3174 Ph: (240) 898-5082 | Devote Llc 11976 Castle Pines Ln Waldorf MD 20602-3174 Ph: (240) 898-5082 |
| NPI Number | 1386492908 |
|---|---|
| Provider Enumeration Date | 05/08/2024 |
| Last Update Date | 05/08/2024 |
| Certification Date | 05/08/2024 |
| Medicare PECOS PAC ID | 0648612895 |
|---|---|
| Medicare Enrollment ID | O20240520003864 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386492908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Francoise S Tabe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013679570 PECOS PAC ID: 0042676959 Enrollment ID: I20230719003132 |
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