South Brevard Behavioral Medicine | |
1501 Robert J Conlan Blvd Ne Suite 150 Palm Bay FL 32905-3502 | |
(321) 676-3474 | |
(321) 676-3412 |
Full Name | South Brevard Behavioral Medicine |
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Speciality | Community/Behavioral Health |
Location | 1501 Robert J Conlan Blvd Ne, Palm Bay, Florida |
Authorized Official Name and Position | Scott M. Kaplan (CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 3216753474 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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South Brevard Behavioral Medicine 1501 Robert J Conlan Blvd Ne Suite 150 Palm Bay FL 32905-3502 Ph: (321) 676-3474 | South Brevard Behavioral Medicine 1501 Robert J Conlan Blvd Ne Suite 150 Palm Bay FL 32905-3502 Ph: (321) 676-3474 |
NPI Number | 1912163932 |
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Provider Enumeration Date | 07/29/2008 |
Last Update Date | 07/29/2008 |
Medicare PECOS PAC ID | 5395810956 |
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Medicare Enrollment ID | O20080815000280 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912163932 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | PY3736 (Florida) | Primary |
Provider Name | Scott M Kaplan |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1891916284 PECOS PAC ID: 1951476514 Enrollment ID: I20080815000272 |
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