10TH Ave Medical Associates, LLC
Organization Active NPI Addiction Psychiatry Physician · Lake Worth, FL
NPI 1497066914 · NPPES record last updated Oct 15, 2012
Key facts
- NPI
- 1497066914
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Addiction Psychiatry Physician 2084P0802X
- License
- ME83014 (FL)
- Legal business name
- 10TH AVE MEDICAL ASSOCIATES, LLC
- Practice address
- 3185 Boutwell Rd
Lake Worth, FL 33461-2610 - Phone
- (561) 533-0074
- NPI assigned
- Jun 30, 2010
- Organization subpart
- No
Authorized official
- Name
- Karen Barlow
- Title
- President Jupiter Prof Development
- Phone
- (561) 748-2889
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Psychiatry Physician |
2084P0802X | ME83014 | FL | Yes |
Addresses
Primary practice location
3185 Boutwell Rd
Lake Worth, FL 33461-2610
Mailing address
PO Box 7240
Jupiter, FL 33468-7240
Phone (561) 748-2889
Other providers in Lake Worth, FL
- 18221 Enterprises LLC
- 1St Choice Health of WPB
- 21St Century Oncology LLC
- 21St Century Oncology LLC
- 365 Wellness
All providers in Lake Worth, FL · Addiction Psychiatry Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.