| Omega Behaviorcare, P.a. | |
|
9974 Equus Cir Boynton Beach FL 33472-4320 | |
| (904) 540-3808 | |
| Not Available |
| Full Name | Omega Behaviorcare, P.a. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 9974 Equus Cir, Boynton Beach, Florida |
| Authorized Official Name and Position | Serge Vilvar (PRESIDENT) |
| Authorized Official Contact | 9045403808 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Omega Behaviorcare, P.a. Po Box 741482 Boynton Beach FL 33474-1482 Ph: (904) 540-3808 | Omega Behaviorcare, P.a. 9974 Equus Cir Boynton Beach FL 33472-4320 Ph: (904) 540-3808 |
| NPI Number | 1922594258 |
|---|---|
| Provider Enumeration Date | 07/10/2018 |
| Last Update Date | 03/16/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922594258 | NPI | - | NPPES |
| 0007803016 | Other | FL | AETNA |
| P01412336 | Other | FL | MEDICARE RR- PTAN |
| 49862 | Other | FL | BCBS FL |
| 2062792 | Other | FL | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME78304 (Florida) | Primary |
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