| Pediatric Aba 5 Inc | |
|
5623 Us Highway 19 Ste 259 New Prt Rchy FL 34652-3752 | |
| (786) 597-2047 | |
| Not Available |
| Full Name | Pediatric Aba 5 Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5623 Us Highway 19 Ste 259, New Prt Rchy, Florida |
| Authorized Official Name and Position | Wandy Caceres (CEO) |
| Authorized Official Contact | 7865972047 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Aba 5 Inc 5623 Us Highway 19 Ste 259 New Prt Rchy FL 34652-3752 Ph: (786) 597-2047 | Pediatric Aba 5 Inc 5623 Us Highway 19 Ste 259 New Prt Rchy FL 34652-3752 Ph: (786) 597-2047 |
| NPI Number | 1124516752 |
|---|---|
| Provider Enumeration Date | 04/30/2018 |
| Last Update Date | 04/30/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124516752 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Otsenre E Matos M D P A Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4821 Us Highway 19 Ste 1, New Prt Rchy, FL 34652 Phone: 727-849-2005 Fax: 727-849-2087 |