10TH AVE MEDICAL ASSOCIATES LLC NPI 1497066914

NPI Information

NPI: 1497066914
Provider Name: 10TH AVE MEDICAL ASSOCIATES, LLC
Classification: Psychiatry & Neurology - 2084P0802X
Entity Type: Organization

Specialization: Addiction Psychiatry

Address:
3185 BOUTWELL RD
LAKE WORTH, FL
ZIP 33461
Phone: (561) 533-0074
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10TH AVE MEDICAL ASSOCIATES, LLC is an addiction psychiatry psychiatry neurology in Lake Worth, FL. The provider is addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. 10TH AVE MEDICAL ASSOCIATES, LLC NPI is 1497066914. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3185 BOUTWELL RD
LAKE WORTH, FL
ZIP 33461-610
Phone: (561) 533-0074

The provider's authorized official is Karen Barlow .
The authorized official title is President Jupiter Prof Development and has the following contact phone number (561) 748-2889.

The enumeration date for this NPI number is 6/30/2010 and was last updated on 10/15/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084P0802X	Psychiatry & Neurology	Addiction Psychiatry	ME83014	FLORIDA	Yes

What is NPI?

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This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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