| Emergency Services Provider Group, Inc | |
|
1950 Ne 6th St Unit 2112 Pompano Beach FL 33060-6541 | |
| (561) 508-8555 | |
| Not Available |
| Full Name | Emergency Services Provider Group, Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1950 Ne 6th St Unit 2112, Pompano Beach, Florida |
| Authorized Official Name and Position | Malik Leigh (CEO) |
| Authorized Official Contact | 5615088555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emergency Services Provider Group, Inc Po Box 2112 Pompano Beach FL 33061-2112 Ph: (405) 921-6935 | Emergency Services Provider Group, Inc 1950 Ne 6th St Unit 2112 Pompano Beach FL 33060-6541 Ph: (561) 508-8555 |
| NPI Number | 1134859325 |
|---|---|
| Provider Enumeration Date | 06/13/2022 |
| Last Update Date | 06/13/2022 |
| Certification Date | 06/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134859325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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