| Michelle Mankoff, Inc | |
|
1700 N Dixie Hwy #103 Boca Raton FL 33432-1850 | |
| (561) 573-2222 | |
| Not Available |
| Full Name | Michelle Mankoff, Inc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1700 N Dixie Hwy, Boca Raton, Florida |
| Authorized Official Name and Position | Michelle L Mankoff (LMFT) |
| Authorized Official Contact | 5615732222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Mankoff, Inc 19071 Fox Landing Dr Boca Raton FL 33434-5155 Ph: (561) 999-0532 | Michelle Mankoff, Inc 1700 N Dixie Hwy #103 Boca Raton FL 33432-1850 Ph: (561) 573-2222 |
| NPI Number | 1457800633 |
|---|---|
| Provider Enumeration Date | 09/28/2016 |
| Last Update Date | 09/28/2016 |
| Medicare PECOS PAC ID | 0547609208 |
|---|---|
| Medicare Enrollment ID | O20240415003506 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457800633 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MT1787 (Florida) | Primary |
| Provider Name | Michelle Mankoff |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1699908939 PECOS PAC ID: 4981043544 Enrollment ID: I20240305002250 |
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