| Hollis Silverman, Pa | |
|
621 Nw 53rd St Ste 125 Boca Raton FL 33487-8236 | |
| (954) 663-2475 | |
| Not Available |
| Full Name | Hollis Silverman, Pa |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 621 Nw 53rd St Ste 125, Boca Raton, Florida |
| Authorized Official Name and Position | Hollis Widdekind (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 9546632475 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hollis Silverman, Pa 111 Eubanks Ct Woodstock GA 30188-1903 Ph: (954) 663-2475 | Hollis Silverman, Pa 621 Nw 53rd St Ste 125 Boca Raton FL 33487-8236 Ph: (954) 663-2475 |
| NPI Number | 1629457874 |
|---|---|
| Provider Enumeration Date | 05/20/2015 |
| Last Update Date | 12/08/2023 |
| Certification Date | 12/08/2023 |
| Medicare PECOS PAC ID | 9739480427 |
|---|---|
| Medicare Enrollment ID | O20151222002664 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629457874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | SW 12779 (Florida) | Primary |
| Provider Name | Hollis Widdekind |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720467970 PECOS PAC ID: 7810298502 Enrollment ID: I20151222002754 |
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