| Richard S Faulk Md Pa | |
|
7100 W Camino Real Suite 202 Boca Raton FL 33433-5578 | |
| (561) 218-1798 | |
| (954) 615-1970 |
| Full Name | Richard S Faulk Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 7100 W Camino Real, Boca Raton, Florida |
| Authorized Official Name and Position | Richard Scott Faulk (PSYCHIATRIST) |
| Authorized Official Contact | 5612181798 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard S Faulk Md Pa 7100 W Camino Real Suite 202 Boca Raton FL 33433-5578 Ph: (561) 218-1798 | Richard S Faulk Md Pa 7100 W Camino Real Suite 202 Boca Raton FL 33433-5578 Ph: (561) 218-1798 |
| NPI Number | 1912113820 |
|---|---|
| Provider Enumeration Date | 05/15/2007 |
| Last Update Date | 05/08/2021 |
| Certification Date | 05/08/2021 |
| Medicare PECOS PAC ID | 6204936560 |
|---|---|
| Medicare Enrollment ID | O20070716000418 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912113820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Richard S Faulk |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154398477 PECOS PAC ID: 8224138706 Enrollment ID: I20070712000715 |
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