| |
1499 Forest Hill Blvd Suite 115 West Palm Beach FL 33406-6050 | |
(561) 685-7077 | |
Not Available |
Full Name | |
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Speciality | Social Worker |
Location | 1499 Forest Hill Blvd, West Palm Beach, Florida |
Authorized Official Name and Position | Patricia Ellen Morrison (PRESIDENT) |
Authorized Official Contact | 5616857077 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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621 E Woolbright Rd B-107 Boynton Beach FL 33435-6156 Ph: (561) 685-7077 | 1499 Forest Hill Blvd Suite 115 West Palm Beach FL 33406-6050 Ph: (561) 685-7077 |
NPI Number | 1508301136 |
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Provider Enumeration Date | 01/06/2017 |
Last Update Date | 01/06/2017 |
Medicare PECOS PAC ID | 9537437231 |
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Medicare Enrollment ID | O20170621003217 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508301136 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW9273 (Florida) | Primary |
Provider Name | Patricia Ellen Morrison |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1285872150 PECOS PAC ID: 5698827822 Enrollment ID: I20090717000513 |
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