Miami Psychological Center Pa | |
1200 N Federal Hwy Ste 200 Boca Raton FL 33432-2813 | |
(305) 721-3128 | |
Not Available |
Full Name | Miami Psychological Center Pa |
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Speciality | Counselor |
Location | 1200 N Federal Hwy Ste 200, Boca Raton, Florida |
Authorized Official Name and Position | Jaqueline Pardillo (OWNER) |
Authorized Official Contact | 7862296589 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Miami Psychological Center Pa 9796 Nw 51st Ter Doral FL 33178-1910 Ph: () - | Miami Psychological Center Pa 1200 N Federal Hwy Ste 200 Boca Raton FL 33432-2813 Ph: (305) 721-3128 |
NPI Number | 1982107538 |
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Provider Enumeration Date | 03/09/2018 |
Last Update Date | 01/06/2021 |
Certification Date | 01/06/2021 |
Medicare PECOS PAC ID | 4486068004 |
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Medicare Enrollment ID | O20210122000059 |
Identifier | Type | State | Issuer |
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1982107538 | NPI | - | NPPES |
Provider Name | Natalie Jaspers |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1033406103 PECOS PAC ID: 0648684274 Enrollment ID: I20210122000594 |
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