| Gemini Enterprises Llc | |
|
9101 Lakeridge Blvd Ste 22 Boca Raton FL 33496-2180 | |
| (734) 846-2642 | |
| Not Available |
| Full Name | Gemini Enterprises Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9101 Lakeridge Blvd Ste 22, Boca Raton, Florida |
| Authorized Official Name and Position | Mona Awad (CEO) |
| Authorized Official Contact | 7348462642 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gemini Enterprises Llc 3105 Oakland Shores Dr Apt 102j Oakland Park FL 33309-5617 Ph: (734) 846-2642 | Gemini Enterprises Llc 9101 Lakeridge Blvd Ste 22 Boca Raton FL 33496-2180 Ph: (734) 846-2642 |
| NPI Number | 1467227926 |
|---|---|
| Provider Enumeration Date | 11/15/2023 |
| Last Update Date | 11/15/2023 |
| Certification Date | 11/15/2023 |
| Medicare PECOS PAC ID | 4486002144 |
|---|---|
| Medicare Enrollment ID | O20231120000816 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467227926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Mona Awad |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114491768 PECOS PAC ID: 5395193056 Enrollment ID: I20231201002191 |
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