| Palm Beach Professional Group, Pc | |
|
4400 E Congress Ave Ste. 201 West Palm Beach FL 33407 | |
| (615) 727-8387 | |
| (615) 457-8094 |
| Full Name | Palm Beach Professional Group, Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 4400 E Congress Ave, West Palm Beach, Florida |
| Authorized Official Name and Position | Mark A. Calarco (FACILITY CEO) |
| Authorized Official Contact | 6157125862 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palm Beach Professional Group, Pc 200 Powell Pl Attn: Legal Department Brentwood TN 37027-7514 Ph: (615) 732-1605 | Palm Beach Professional Group, Pc 4400 E Congress Ave Ste. 201 West Palm Beach FL 33407 Ph: (615) 727-8387 |
| NPI Number | 1952734873 |
|---|---|
| Provider Enumeration Date | 08/14/2013 |
| Last Update Date | 09/08/2021 |
| Certification Date | 09/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952734873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PY8361 (Florida) | Secondary |
| 103T00000X | Psychologist | PY8421 (Florida) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (Florida) | Primary |
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