| Susan Sagman Pa | |
|
21691 Abington Ct Boca Raton FL 33428-4831 | |
| (561) 929-0996 | |
| (561) 218-6029 |
| Full Name | Susan Sagman Pa |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 21691 Abington Ct, Boca Raton, Florida |
| Authorized Official Name and Position | Susan Faith Sagman (PRESIDENT) |
| Authorized Official Contact | 5619290996 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Sagman Pa 21691 Abington Ct Boca Raton FL 33428-4831 Ph: (561) 929-0996 | Susan Sagman Pa 21691 Abington Ct Boca Raton FL 33428-4831 Ph: (561) 929-0996 |
| NPI Number | 1841473741 |
|---|---|
| Provider Enumeration Date | 12/13/2007 |
| Last Update Date | 12/13/2007 |
| Medicare PECOS PAC ID | 1850471293 |
|---|---|
| Medicare Enrollment ID | O20080110000343 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841473741 | NPI | - | NPPES |
| 8118515 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | SW3461 (Florida) | Primary |
| Provider Name | Susan Goldberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912105289 PECOS PAC ID: 6608965090 Enrollment ID: I20071208000004 |
| Provider Name | Janine Hadar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750837530 PECOS PAC ID: 2567750631 Enrollment ID: I20161006000148 |
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