Pediatric Aba 5 Inc | |
5623 Us Highway 19 Ste 259 New Prt Rchy FL 34652-3752 | |
(786) 597-2047 | |
Not Available |
Full Name | Pediatric Aba 5 Inc |
---|---|
Speciality | Community/behavioral Health |
Location | 5623 Us Highway 19 Ste 259, New Prt Rchy, Florida |
Authorized Official Name and Position | Wandy Caceres (CEO) |
Authorized Official Contact | 7865972047 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pediatric Aba 5 Inc 5623 Us Highway 19 Ste 259 New Prt Rchy FL 34652-3752 Ph: (786) 597-2047 | Pediatric Aba 5 Inc 5623 Us Highway 19 Ste 259 New Prt Rchy FL 34652-3752 Ph: (786) 597-2047 |
NPI Number | 1124516752 |
---|---|
Provider Enumeration Date | 04/30/2018 |
Last Update Date | 04/30/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124516752 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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Otsenre E Matos M D P A Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4821 Us Highway 19 Ste 1, New Prt Rchy, FL 34652 Phone: 727-849-2005 Fax: 727-849-2087 |