| Playtime Works Llc | |
|
2306 S Cypress Bend Dr Apt 420 Pompano Beach FL 33069-4465 | |
| (561) 665-1147 | |
| Not Available |
| Full Name | Playtime Works Llc |
|---|---|
| Speciality | Counselor |
| Location | 2306 S Cypress Bend Dr Apt 420, Pompano Beach, Florida |
| Authorized Official Name and Position | Gabriel L. Tito (MANAGER) |
| Authorized Official Contact | 5616651147 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Playtime Works Llc 2306 S Cypress Bend Dr Apt 420 Pompano Beach FL 33069-4465 Ph: (561) 665-1147 | Playtime Works Llc 2306 S Cypress Bend Dr Apt 420 Pompano Beach FL 33069-4465 Ph: (561) 665-1147 |
| NPI Number | 1881447217 |
|---|---|
| Provider Enumeration Date | 04/08/2024 |
| Last Update Date | 04/08/2024 |
| Certification Date | 04/07/2024 |
| Medicare PECOS PAC ID | 6800338559 |
|---|---|
| Medicare Enrollment ID | O20240610000768 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881447217 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Gabriel Tito |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023277480 PECOS PAC ID: 6800338567 Enrollment ID: I20240610001471 |
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