| Panda Therapy Circle, Llc | |
|
150 E Palmetto Park Rd Ste 800 Boca Raton FL 33432-4833 | |
| (561) 704-7903 | |
| Not Available |
| Full Name | Panda Therapy Circle, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 150 E Palmetto Park Rd Ste 800, Boca Raton, Florida |
| Authorized Official Name and Position | Alexander Kay (DIRECTOR) |
| Authorized Official Contact | 5617047903 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Panda Therapy Circle, Llc 170 Ne 2nd St # 1255 Boca Raton FL 33432-3931 Ph: (561) 704-7903 | Panda Therapy Circle, Llc 150 E Palmetto Park Rd Ste 800 Boca Raton FL 33432-4833 Ph: (561) 704-7903 |
| NPI Number | 1326501024 |
|---|---|
| Provider Enumeration Date | 04/09/2019 |
| Last Update Date | 04/09/2019 |
| Medicare PECOS PAC ID | 8921335274 |
|---|---|
| Medicare Enrollment ID | O20190808002045 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326501024 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| Provider Name | Alexander Kay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588180012 PECOS PAC ID: 1456602952 Enrollment ID: I20180921002821 |
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