| Richard Higinbotham Pa | |
|
614 Ne Jensen Beach Blvd Jensen Beach FL 34957-4750 | |
| (772) 225-1226 | |
| Not Available |
| Full Name | Richard Higinbotham Pa |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 614 Ne Jensen Beach Blvd, Jensen Beach, Florida |
| Authorized Official Name and Position | Richard Higinbotham Pa (PRESIDENT) |
| Authorized Official Contact | 7343206940 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Higinbotham Pa 3940 N Flagler Dr #201 West Palm Beach FL 33407-4441 Ph: (734) 320-6940 | Richard Higinbotham Pa 614 Ne Jensen Beach Blvd Jensen Beach FL 34957-4750 Ph: (772) 225-1226 |
| NPI Number | 1467622472 |
|---|---|
| Provider Enumeration Date | 03/05/2008 |
| Last Update Date | 03/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467622472 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | SW8769 (Florida) | Primary |
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