| Step Up Care Llc | |
|
7280 W Palmetto Park Rd Ste 302n Boca Raton FL 33433-3432 | |
| (718) 506-1115 | |
| Not Available |
| Full Name | Step Up Care Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 7280 W Palmetto Park Rd Ste 302n, Boca Raton, Florida |
| Authorized Official Name and Position | Raphael Lichtschein (OWNER) |
| Authorized Official Contact | 7185061115 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Step Up Care Llc 27 Randolph Rd Howell NJ 07731-8611 Ph: (718) 298-4375 | Step Up Care Llc 7280 W Palmetto Park Rd Ste 302n Boca Raton FL 33433-3432 Ph: (718) 506-1115 |
| NPI Number | 1386296556 |
|---|---|
| Provider Enumeration Date | 07/09/2019 |
| Last Update Date | 02/14/2024 |
| Certification Date | 02/14/2024 |
| Medicare PECOS PAC ID | 9234468778 |
|---|---|
| Medicare Enrollment ID | O20190910000526 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386296556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Robert C Glenn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902033210 PECOS PAC ID: 9335328467 Enrollment ID: I20240327003417 |
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