| Havovi B Shroff Phd Llc | |
|
11761 Island Lakes Ln Boca Raton FL 33498-6804 | |
| (561) 800-2527 | |
| (561) 447-1556 |
| Full Name | Havovi B Shroff Phd Llc |
|---|---|
| Speciality | Psychologist |
| Location | 11761 Island Lakes Ln, Boca Raton, Florida |
| Authorized Official Name and Position | Havovi B Shroff (PRESIDENT OWNER) |
| Authorized Official Contact | 5618002527 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Havovi B Shroff Phd Llc 2406 S Seacrest Blvd Boynton Beach FL 33435-6702 Ph: (561) 703-1878 | Havovi B Shroff Phd Llc 11761 Island Lakes Ln Boca Raton FL 33498-6804 Ph: (561) 800-2527 |
| NPI Number | 1417356551 |
|---|---|
| Provider Enumeration Date | 08/14/2014 |
| Last Update Date | 09/30/2014 |
| Medicare PECOS PAC ID | 3870835069 |
|---|---|
| Medicare Enrollment ID | O20190509000802 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417356551 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP2701X | Psychologist - Group Psychotherapy | MH11982 (Florida) | Primary |
| Provider Name | Havovi B Shroff |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255730560 PECOS PAC ID: 1153663349 Enrollment ID: I20231204000604 |
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