| Titan Health Team, Inc. | |
|
4 Westgate Ln Apt C Boynton Beach FL 33436-6358 | |
| (516) 224-4157 | |
| (516) 864-4599 |
| Full Name | Titan Health Team, Inc. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4 Westgate Ln Apt C, Boynton Beach, Florida |
| Authorized Official Name and Position | Denise C Santucci (PRESIDENT) |
| Authorized Official Contact | 5162244157 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Titan Health Team, Inc. 4 Westgate Ln Apt C Boynton Beach FL 33436-6358 Ph: () - | Titan Health Team, Inc. 4 Westgate Ln Apt C Boynton Beach FL 33436-6358 Ph: (516) 224-4157 |
| NPI Number | 1457852840 |
|---|---|
| Provider Enumeration Date | 02/22/2018 |
| Last Update Date | 02/22/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457852840 | NPI | - | NPPES |
| 02365837 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 225164 (New York) | Primary |
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