Neuro Wellness Centers Of America, Llc | |
9734 W Sample Rd Coral Springs FL 33065 | |
(305) 458-8378 | |
Not Available |
Full Name | Neuro Wellness Centers Of America, Llc |
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Speciality | Clinic/Center |
Location | 9734 W Sample Rd, Coral Springs, Florida |
Authorized Official Name and Position | Rachelle H Weiss Lahn (CEO) |
Authorized Official Contact | 9549031323 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Neuro Wellness Centers Of America, Llc 9734 W Sample Rd Ste B Coral Springs FL 33065-4004 Ph: (305) 458-8378 | Neuro Wellness Centers Of America, Llc 9734 W Sample Rd Coral Springs FL 33065 Ph: (305) 458-8378 |
NPI Number | 1477051498 |
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Provider Enumeration Date | 01/24/2018 |
Last Update Date | 07/27/2018 |
Medicare PECOS PAC ID | 9537407382 |
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Medicare Enrollment ID | O20190220003005 |
Identifier | Type | State | Issuer |
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1477051498 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Jacqueline B Pevny |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1114098431 PECOS PAC ID: 2567361587 Enrollment ID: I20040108000085 |
Provider Name | Ian S Silbert |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1992747398 PECOS PAC ID: 3476505413 Enrollment ID: I20050217000535 |
Provider Name | Shalini Katyal |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1972713774 PECOS PAC ID: 4082947957 Enrollment ID: I20190607000834 |
Provider Name | Roxana Yasmin Carmenate |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1861829954 PECOS PAC ID: 6204195852 Enrollment ID: I20211007000912 |
Provider Name | Nyoka P Powell Robinson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083342638 PECOS PAC ID: 4587038815 Enrollment ID: I20230328000768 |
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