| The Clinic, Llc | |
|
3370 Burns Rd Suite 103 Palm Beach Gardens FL 33410-4327 | |
| (561) 627-0772 | |
| (888) 235-9876 |
| Full Name | The Clinic, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3370 Burns Rd, Palm Beach Gardens, Florida |
| Authorized Official Name and Position | Javedul Haque (OWNER) |
| Authorized Official Contact | 5616270772 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Clinic, Llc 319 September St Palm Beach Gardens FL 33410-1521 Ph: (561) 627-0772 | The Clinic, Llc 3370 Burns Rd Suite 103 Palm Beach Gardens FL 33410-4327 Ph: (561) 627-0772 |
| NPI Number | 1235452764 |
|---|---|
| Provider Enumeration Date | 03/11/2010 |
| Last Update Date | 03/11/2010 |
| Medicare PECOS PAC ID | 7416146451 |
|---|---|
| Medicare Enrollment ID | O20110106000763 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235452764 | NPI | - | NPPES |
| 1453G | Other | FL | BCBS OF FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME101767 (Florida) | Primary |
| Provider Name | Javedul Haque |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740253343 PECOS PAC ID: 9032159801 Enrollment ID: I20091111000757 |
| Provider Name | Faranza Malik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235342726 PECOS PAC ID: 3375681380 Enrollment ID: I20091112000127 |
| Provider Name | Danish Fakhar Malik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639608300 PECOS PAC ID: 5496153504 Enrollment ID: I20230111000058 |
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