| Pop's House Llc | |
|
4101 Ne 13th Ave Pompano Beach FL 33064-6040 | |
| (954) 746-8232 | |
| (954) 746-8231 |
| Full Name | Pop's House Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4101 Ne 13th Ave, Pompano Beach, Florida |
| Authorized Official Name and Position | Edgardo Vega (OWNER) |
| Authorized Official Contact | 9547468232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pop's House Llc 4101 Ne 13th Ave Pompano Beach FL 33064-6040 Ph: (954) 746-8232 | Pop's House Llc 4101 Ne 13th Ave Pompano Beach FL 33064-6040 Ph: (954) 746-8232 |
| NPI Number | 1336495290 |
|---|---|
| Provider Enumeration Date | 07/30/2012 |
| Last Update Date | 01/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336495290 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 10D2039731 (Florida) | Primary |
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