| Thema Brain Health Florida Llc | |
|
3998 Fau Blvd Ste 120 Boca Raton FL 33431-6429 | |
| (561) 918-0002 | |
| Not Available |
| Full Name | Thema Brain Health Florida Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3998 Fau Blvd Ste 120, Boca Raton, Florida |
| Authorized Official Name and Position | Seth Harlem (PRESIDENT) |
| Authorized Official Contact | 5619180002 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thema Brain Health Florida Llc 3998 Fau Blvd Ste 120 Boca Raton FL 33431-6429 Ph: (561) 918-0002 | Thema Brain Health Florida Llc 3998 Fau Blvd Ste 120 Boca Raton FL 33431-6429 Ph: (561) 918-0002 |
| NPI Number | 1902684327 |
|---|---|
| Provider Enumeration Date | 09/18/2023 |
| Last Update Date | 09/18/2023 |
| Certification Date | 09/18/2023 |
| Medicare PECOS PAC ID | 4385091586 |
|---|---|
| Medicare Enrollment ID | O20231109001670 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902684327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Lorin Michael Graef |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750343703 PECOS PAC ID: 8123151396 Enrollment ID: I20100902000631 |
| Provider Name | Nicole Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669701215 PECOS PAC ID: 3173656147 Enrollment ID: I20151209001821 |
| Provider Name | Nithya Mathai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710462791 PECOS PAC ID: 2163756404 Enrollment ID: I20190620001834 |
| Provider Name | Alexander S Rackman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255775805 PECOS PAC ID: 1456642800 Enrollment ID: I20220604000100 |
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