| Prime Behavioral Health And Wellness Llc | |
|
1200 Civitas Way Oakland FL 34787-3492 | |
| (818) 970-6703 | |
| Not Available |
| Full Name | Prime Behavioral Health And Wellness Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1200 Civitas Way, Oakland, Florida |
| Authorized Official Name and Position | Edward Singh (PROVIDER) |
| Authorized Official Contact | 8189706703 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Behavioral Health And Wellness Llc 1200 Civitas Way Oakland FL 34787-3492 Ph: (818) 970-6703 | Prime Behavioral Health And Wellness Llc 1200 Civitas Way Oakland FL 34787-3492 Ph: (818) 970-6703 |
| NPI Number | 1093464364 |
|---|---|
| Provider Enumeration Date | 03/22/2022 |
| Last Update Date | 05/01/2024 |
| Certification Date | 05/01/2024 |
| Medicare PECOS PAC ID | 1153796073 |
|---|---|
| Medicare Enrollment ID | O20230406002460 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093464364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Edward Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487035622 PECOS PAC ID: 7315242245 Enrollment ID: I20200630000704 |
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