| Rynokimco Inc. | |
|
10365 Cameilla St Parkland FL 33076-4487 | |
| (954) 675-4492 | |
| (954) 445-4454 |
| Full Name | Rynokimco Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 10365 Cameilla St, Parkland, Florida |
| Authorized Official Name and Position | Kim B Elkin (PRESIDENT) |
| Authorized Official Contact | 9546754492 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rynokimco Inc. 10365 Cameilla St Parkland FL 33076-4487 Ph: (954) 675-4492 | Rynokimco Inc. 10365 Cameilla St Parkland FL 33076-4487 Ph: (954) 675-4492 |
| NPI Number | 1649898503 |
|---|---|
| Provider Enumeration Date | 07/08/2020 |
| Last Update Date | 07/08/2020 |
| Certification Date | 07/08/2020 |
| Medicare PECOS PAC ID | 7113447210 |
|---|---|
| Medicare Enrollment ID | O20250219003010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649898503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Veronica Vazquez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225770985 PECOS PAC ID: 8022538149 Enrollment ID: I20250219003544 |
| Provider Name | Sara Fox |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326795550 PECOS PAC ID: 6204356322 Enrollment ID: I20250219003578 |
| Provider Name | Lori-ann Palazzo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366876625 PECOS PAC ID: 1153841176 Enrollment ID: I20250220003578 |
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