| Dr Beverly Pedroche Inc | |
|
4400 N, Federal Highway Suite 210-48 Boca Raton FL 33431 | |
| (561) 805-3600 | |
| Not Available |
| Full Name | Dr Beverly Pedroche Inc |
|---|---|
| Speciality | Psychologist |
| Location | 4400 N, Federal Highway, Boca Raton, Florida |
| Authorized Official Name and Position | Beverly Joy Pedroche (PVST) |
| Authorized Official Contact | 9548160085 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Beverly Pedroche Inc 5204 Wheatley Court Boynton Beach FL 33436 Ph: (954) 816-0085 | Dr Beverly Pedroche Inc 4400 N, Federal Highway Suite 210-48 Boca Raton FL 33431 Ph: (561) 805-3600 |
| NPI Number | 1497398358 |
|---|---|
| Provider Enumeration Date | 10/23/2019 |
| Last Update Date | 10/23/2019 |
| Medicare PECOS PAC ID | 1355770173 |
|---|---|
| Medicare Enrollment ID | O20200331000013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497398358 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Beverly J Pedroche |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508140658 PECOS PAC ID: 2769656271 Enrollment ID: I20111118000466 |
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