| |
11310 Legacy Ave, Palm Beach Gardens, FL 33410-3658 | |
(305) 666-6511 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Clinic/center - Health Service |
Location | 11310 Legacy Ave, Palm Beach Gardens, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720352917 | NPI | - | NPPES |
006315101 | Medicaid | FL |
Mailing Address | Practice Location Address |
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Po Box 557367, Miami, FL 33255-7367 Ph: (786) 624-5845 | 11310 Legacy Ave, Palm Beach Gardens, FL 33410-3658 Ph: (305) 666-6511 |