| |
1700 W Woolbright Rd Ste 1 Boynton Beach FL 33426-6346 | |
(561) 336-0112 | |
(561) 537-8635 |
Full Name | |
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Speciality | Clinic/center |
Location | 1700 W Woolbright Rd Ste 1, Boynton Beach, Florida |
Authorized Official Name and Position | Andrea K Beach (PAYER RELATIONS MANAGER) |
Authorized Official Contact | 4192169913 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 150 Lima OH 45802-0150 Ph: (419) 216-9913 | 1700 W Woolbright Rd Ste 1 Boynton Beach FL 33426-6346 Ph: (561) 336-0112 |
NPI Number | 1952112591 |
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Provider Enumeration Date | 01/14/2025 |
Last Update Date | 01/14/2025 |
Identifier | Type | State | Issuer |
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1952112591 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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