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1655 Palm Beach Lakes Blvd Ste 300 West Palm Beach FL 33401-2203 | |
| (561) 612-6049 | |
| (561) 366-4848 |
| Full Name | |
|---|---|
| Speciality | Case Management |
| Location | 1655 Palm Beach Lakes Blvd Ste 300, West Palm Beach, Florida |
| Authorized Official Name and Position | Alice T. Hemings (MANGER OF BILLING AND A/C REC.) |
| Authorized Official Contact | 5616126049 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1655 Palm Beach Lakes Blvd Ste 300 West Palm Beach FL 33401-2203 Ph: (561) 612-6049 | 1655 Palm Beach Lakes Blvd Ste 300 West Palm Beach FL 33401-2203 Ph: (561) 612-6049 |
| NPI Number | 1518960319 |
|---|---|
| Provider Enumeration Date | 05/24/2005 |
| Last Update Date | 04/22/2022 |
| Certification Date | 04/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518960319 | NPI | - | NPPES |
| 757704400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
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