| East Florida Behavioral Health Network, Llc | |
|
2201 45th St West Palm Beach FL 33407-2047 | |
| (561) 863-3824 | |
| Not Available |
| Full Name | East Florida Behavioral Health Network, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2201 45th St, West Palm Beach, Florida |
| Authorized Official Name and Position | Angela W Brady (AVP OPERATIONS) |
| Authorized Official Contact | 8438136397 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Florida Behavioral Health Network, Llc 111 Jfk Dr Ste A Atlantis FL 33462-6634 Ph: (561) 548-3716 | East Florida Behavioral Health Network, Llc 2201 45th St West Palm Beach FL 33407-2047 Ph: (561) 863-3824 |
| NPI Number | 1538462130 |
|---|---|
| Provider Enumeration Date | 12/21/2010 |
| Last Update Date | 12/21/2010 |
| Medicare PECOS PAC ID | 7810160249 |
|---|---|
| Medicare Enrollment ID | O20111101000221 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538462130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Robert F Vassall |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639254147 PECOS PAC ID: 9133160070 Enrollment ID: I20050520000261 |
| Provider Name | Peter Theodoropoulos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790814713 PECOS PAC ID: 2567486442 Enrollment ID: I20060118000653 |
| Provider Name | Marie Addly Cambronne |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639372543 PECOS PAC ID: 0345338802 Enrollment ID: I20071116000091 |
| Provider Name | Clara Alvarez Villalba |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497802839 PECOS PAC ID: 5395895411 Enrollment ID: I20090611000491 |
| Provider Name | Maria D Del Sol |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184793341 PECOS PAC ID: 5890837967 Enrollment ID: I20100127000940 |
| Provider Name | Richard Allan Callahan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215378336 PECOS PAC ID: 4587886221 Enrollment ID: I20141112001350 |
| Provider Name | Samuel Neuhut |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750609244 PECOS PAC ID: 4082928015 Enrollment ID: I20150804003859 |
| Provider Name | Khairul S Alam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801864434 PECOS PAC ID: 9234034117 Enrollment ID: I20150910002065 |
| Provider Name | Ana Suarez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164706404 PECOS PAC ID: 8921317819 Enrollment ID: I20151015001008 |
| Provider Name | John Md Naliyath |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912268301 PECOS PAC ID: 6709196066 Enrollment ID: I20151117001776 |
| Provider Name | Joseph C Brock |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194288316 PECOS PAC ID: 9931435583 Enrollment ID: I20230715000773 |
| Provider Name | Sindhura Kompella |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316444953 PECOS PAC ID: 0042671489 Enrollment ID: I20230801002256 |
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