Goal Psychiatric Associates, Llc | |
1040 Weston Rd Suite 210 Weston FL 33326-1912 | |
(954) 766-4702 | |
(954) 766-4907 |
Full Name | Goal Psychiatric Associates, Llc |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1040 Weston Rd, Weston, Florida |
Authorized Official Name and Position | Edwin A Gomez (OWNER) |
Authorized Official Contact | 9547664702 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Goal Psychiatric Associates, Llc 1040 Weston Rd Suite 210 Weston FL 33326-1912 Ph: (954) 766-4702 | Goal Psychiatric Associates, Llc 1040 Weston Rd Suite 210 Weston FL 33326-1912 Ph: (954) 766-4702 |
NPI Number | 1427338680 |
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Provider Enumeration Date | 08/19/2011 |
Last Update Date | 01/13/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427338680 | NPI | - | NPPES |
001441900 | Medicaid | FL | |
GM814A | Other | FL | GROUP MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | ME97741 (Florida) | Primary |
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | ME97741 (Florida) | Secondary |
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