| Psychiatry Wellness Center Pa | |
|
6801 Lake Worth Rd Ste 213-214 Greenacres FL 33467-2955 | |
| (561) 444-2351 | |
| (561) 469-7089 |
| Full Name | Psychiatry Wellness Center Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 6801 Lake Worth Rd Ste 213-214, Greenacres, Florida |
| Authorized Official Name and Position | Janell Lynn Tabora (DIRECTOR) |
| Authorized Official Contact | 6026969272 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychiatry Wellness Center Pa 6801 Lake Worth Rd Ste 213-214 Lake Worth FL 33467-2955 Ph: (561) 444-2351 | Psychiatry Wellness Center Pa 6801 Lake Worth Rd Ste 213-214 Greenacres FL 33467-2955 Ph: (561) 444-2351 |
| NPI Number | 1386271849 |
|---|---|
| Provider Enumeration Date | 03/25/2020 |
| Last Update Date | 09/20/2022 |
| Certification Date | 09/20/2022 |
| Medicare PECOS PAC ID | 6901227867 |
|---|---|
| Medicare Enrollment ID | O20200601001169 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386271849 | NPI | - | NPPES |
| 107183900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Janell Tabora |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811334410 PECOS PAC ID: 7113168477 Enrollment ID: I20200917000901 |
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