| Paulette R Gibbons | |
|
1830 Radius Dr Apt 604 Hollywood FL 33020-7702 | |
| (786) 374-8100 | |
| Not Available |
| Full Name | Paulette R Gibbons |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1830 Radius Dr, Hollywood, Florida |
| Authorized Official Name and Position | Paulette Rene Gibbons (THERAPIST) |
| Authorized Official Contact | 7863748100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paulette R Gibbons 1830 Radius Dr Apt 604 Hollywood FL 33020-7702 Ph: (786) 374-8100 | Paulette R Gibbons 1830 Radius Dr Apt 604 Hollywood FL 33020-7702 Ph: (786) 374-8100 |
| NPI Number | 1750817052 |
|---|---|
| Provider Enumeration Date | 05/04/2017 |
| Last Update Date | 05/04/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750817052 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MH14006 (Florida) | Primary |
| 251S00000X | Community/behavioral Health | MCAP100270 (Florida) | Secondary |
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