| Stephanie's Family | |
|
3613 Coconut Rd Lake Worth FL 33461-3585 | |
| (561) 502-0305 | |
| (772) 872-5287 |
| Full Name | Stephanie's Family |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3613 Coconut Rd, Lake Worth, Florida |
| Authorized Official Name and Position | Dexter D Head (PRACITICE MANAGER) |
| Authorized Official Contact | 7722194041 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie's Family 3613 Coconut Rd Lake Worth FL 33461-3585 Ph: (561) 502-0305 | Stephanie's Family 3613 Coconut Rd Lake Worth FL 33461-3585 Ph: (561) 502-0305 |
| NPI Number | 1588087951 |
|---|---|
| Provider Enumeration Date | 01/21/2014 |
| Last Update Date | 03/19/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588087951 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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