| Dove Behavioral Health Llc | |
|
514 Ne 16th Pl Unit 4-5 Cape Coral FL 33909-2213 | |
| (239) 445-3683 | |
| (239) 829-9121 |
| Full Name | Dove Behavioral Health Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 514 Ne 16th Pl Unit 4-5, Cape Coral, Florida |
| Authorized Official Name and Position | Jose Crossier (APRN) |
| Authorized Official Contact | 2394453683 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dove Behavioral Health Llc 514 Ne 16th Pl Unit 4-5 Cape Coral FL 33909-2213 Ph: (239) 445-3683 | Dove Behavioral Health Llc 514 Ne 16th Pl Unit 4-5 Cape Coral FL 33909-2213 Ph: (239) 445-3683 |
| NPI Number | 1457035008 |
|---|---|
| Provider Enumeration Date | 06/14/2023 |
| Last Update Date | 04/04/2024 |
| Certification Date | 04/04/2024 |
| Medicare PECOS PAC ID | 8628437803 |
|---|---|
| Medicare Enrollment ID | O20230706001565 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457035008 | NPI | - | NPPES |
| Provider Name | Jose Crossier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396209649 PECOS PAC ID: 5698191690 Enrollment ID: I20200821000332 |
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