| Omhs | |
|
4580 Briarcliff Ln Coconut Creek FL 33066-1734 | |
| (954) 415-8118 | |
| Not Available |
| Full Name | Omhs |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4580 Briarcliff Ln, Coconut Creek, Florida |
| Authorized Official Name and Position | Krystal Nicole Boulton (OWNER) |
| Authorized Official Contact | 9544158118 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Omhs 4580 Briarcliff Ln Coconut Creek FL 33066-1734 Ph: (954) 415-8118 | Omhs 4580 Briarcliff Ln Coconut Creek FL 33066-1734 Ph: (954) 415-8118 |
| NPI Number | 1205572849 |
|---|---|
| Provider Enumeration Date | 05/06/2022 |
| Last Update Date | 07/11/2022 |
| Certification Date | 07/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205572849 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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