| Magnolia Place Llc | |
|
1330 Sw 7th St Boca Raton FL 33486-8465 | |
| (501) 773-0234 | |
| (501) 679-5575 |
| Full Name | Magnolia Place Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1330 Sw 7th St, Boca Raton, Florida |
| Authorized Official Name and Position | Scarlett Griffin (DIRECTOR OF BILLING) |
| Authorized Official Contact | 5017730234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Place Llc 1330 Sw 7th St Boca Raton FL 33486-8465 Ph: () - | Magnolia Place Llc 1330 Sw 7th St Boca Raton FL 33486-8465 Ph: (501) 773-0234 |
| NPI Number | 1922411370 |
|---|---|
| Provider Enumeration Date | 06/03/2014 |
| Last Update Date | 10/08/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922411370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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