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2247 Palm Beach Lakes Blvd Ste 205 West Palm Beach FL 33409-3409 | |
| (561) 421-4132 | |
| (561) 774-8265 |
| Full Name | |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2247 Palm Beach Lakes Blvd Ste 205, West Palm Beach, Florida |
| Authorized Official Name and Position | Aser Ones (OWNER) |
| Authorized Official Contact | 5614214132 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
725 Dobbins St West Palm Beach FL 33405-2831 Ph: (561) 860-8525 | 2247 Palm Beach Lakes Blvd Ste 205 West Palm Beach FL 33409-3409 Ph: (561) 421-4132 |
| NPI Number | 1164874129 |
|---|---|
| Provider Enumeration Date | 07/01/2016 |
| Last Update Date | 12/17/2019 |
| Certification Date | 12/17/2019 |
| Medicare PECOS PAC ID | 8224464425 |
|---|---|
| Medicare Enrollment ID | O20200206002247 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164874129 | NPI | - | NPPES |
| 1164874129 | Other | FL | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Aser Ones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417336454 PECOS PAC ID: 1658665534 Enrollment ID: I20160816001633 |
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