| Aba Conquest, Llc | |
|
1365 Sw Vizcaya Cir Palm City FL 34990-1962 | |
| (772) 349-1186 | |
| (772) 324-8766 |
| Full Name | Aba Conquest, Llc |
|---|---|
| Speciality | Early Intervention Provider Agency |
| Location | 1365 Sw Vizcaya Cir, Palm City, Florida |
| Authorized Official Name and Position | Joseph Mcgahan (MANAGER) |
| Authorized Official Contact | 7723491186 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aba Conquest, Llc 1365 Sw Vizcaya Cir Palm City FL 34990-1962 Ph: () - | Aba Conquest, Llc 1365 Sw Vizcaya Cir Palm City FL 34990-1962 Ph: (772) 349-1186 |
| NPI Number | 1467836718 |
|---|---|
| Provider Enumeration Date | 07/16/2015 |
| Last Update Date | 04/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467836718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1-14-16478 (Florida) | Secondary |
| 252Y00000X | Early Intervention Provider Agency | 1-14-16478 (Florida) | Primary |
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