| Evoke Coconut Creek Llc | |
|
7618 Margate Blvd Margate FL 33063-3352 | |
| (954) 993-2040 | |
| (954) 990-6305 |
| Full Name | Evoke Coconut Creek Llc |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 7618 Margate Blvd, Margate, Florida |
| Authorized Official Name and Position | Sherita Chang (CRO) |
| Authorized Official Contact | 9549932040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evoke Coconut Creek Llc 3920 Nw 43rd St Coconut Creek FL 33073-3462 Ph: () - | Evoke Coconut Creek Llc 7618 Margate Blvd Margate FL 33063-3352 Ph: (954) 993-2040 |
| NPI Number | 1073381810 |
|---|---|
| Provider Enumeration Date | 12/12/2023 |
| Last Update Date | 12/12/2023 |
| Certification Date | 12/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073381810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Primary |
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