| Red Bridge Family & Psychiatric Care, Llc | |
|
1054 Gateway Blvd Ste 109 Boynton Beach FL 33426-8309 | |
| (561) 715-4058 | |
| (850) 633-2424 |
| Full Name | Red Bridge Family & Psychiatric Care, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1054 Gateway Blvd Ste 109, Boynton Beach, Florida |
| Authorized Official Name and Position | Heden Presendieu (OWNER/PHYSICIAN) |
| Authorized Official Contact | 5617154058 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Red Bridge Family & Psychiatric Care, Llc 111 Ne 3rd Ave Boynton Beach FL 33435-3862 Ph: (561) 715-4058 | Red Bridge Family & Psychiatric Care, Llc 1054 Gateway Blvd Ste 109 Boynton Beach FL 33426-8309 Ph: (561) 715-4058 |
| NPI Number | 1700426020 |
|---|---|
| Provider Enumeration Date | 01/14/2020 |
| Last Update Date | 08/17/2023 |
| Medicare PECOS PAC ID | 4880017813 |
|---|---|
| Medicare Enrollment ID | O20200709002732 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700426020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
| Provider Name | Heden Presendieu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972921781 PECOS PAC ID: 7416171202 Enrollment ID: I20230809000481 |
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