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1920 Palm Beach Lakes Blvd Suite 102 West Palm Beach FL 33409-3512 | |
| (561) 262-7979 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Social Worker |
| Location | 1920 Palm Beach Lakes Blvd, West Palm Beach, Florida |
| Authorized Official Name and Position | Kimberlee Cain (MANAGER) |
| Authorized Official Contact | 5612627979 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
221 33rd Ct West Palm Beach FL 33407-4911 Ph: () - | 1920 Palm Beach Lakes Blvd Suite 102 West Palm Beach FL 33409-3512 Ph: (561) 262-7979 |
| NPI Number | 1790087310 |
|---|---|
| Provider Enumeration Date | 12/02/2010 |
| Last Update Date | 12/02/2010 |
| Medicare PECOS PAC ID | 0547433948 |
|---|---|
| Medicare Enrollment ID | O20111031000616 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790087310 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW3858 (Florida) | Primary |
| Provider Name | Kimberlee Cain |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871535856 PECOS PAC ID: 2163695560 Enrollment ID: I20111031000655 |
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