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2054 Vista Pkwy Ste 400 West Palm Beach FL 33411-6742 | |
| (561) 331-4470 | |
| (561) 464-5501 |
| Full Name | |
|---|---|
| Speciality | Family Medicine - Addiction Medicine |
| Location | 2054 Vista Pkwy Ste 400, West Palm Beach, Florida |
| Authorized Official Name and Position | Mildred Cintron (CREDENTIALING) |
| Authorized Official Contact | 5612357683 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5030 Champion Blvd Ste G11-535 Boca Raton FL 33496-2473 Ph: (561) 235-7683 | 2054 Vista Pkwy Ste 400 West Palm Beach FL 33411-6742 Ph: (561) 331-4470 |
| NPI Number | 1104573484 |
|---|---|
| Provider Enumeration Date | 03/07/2022 |
| Last Update Date | 02/24/2023 |
| Certification Date | 02/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104573484 | NPI | - | NPPES |
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