| Logique Medical Care Services, Llc | |
|
1325 S Congress Ave Ste 207 Boynton Beach FL 33426-5874 | |
| (561) 374-2472 | |
| (561) 437-8464 |
| Full Name | Logique Medical Care Services, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1325 S Congress Ave Ste 207, Boynton Beach, Florida |
| Authorized Official Name and Position | Jimmy Lafaille Lafaille (DR/PROVIDER) |
| Authorized Official Contact | 5613742472 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Logique Medical Care Services, Llc 1325 S Congress Ave Ste 207 Boynton Beach FL 33426-5874 Ph: (561) 374-2472 | Logique Medical Care Services, Llc 1325 S Congress Ave Ste 207 Boynton Beach FL 33426-5874 Ph: (561) 374-2472 |
| NPI Number | 1538820667 |
|---|---|
| Provider Enumeration Date | 12/30/2021 |
| Last Update Date | 12/30/2021 |
| Certification Date | 12/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538820667 | NPI | - | NPPES |
| 104011300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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