| Carn 360 Services Llc | |
|
1375 Gateway Blvd Ste 29 Boynton Beach FL 33426-8304 | |
| (561) 379-1440 | |
| (561) 471-3288 |
| Full Name | Carn 360 Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1375 Gateway Blvd Ste 29, Boynton Beach, Florida |
| Authorized Official Name and Position | Terrence Lenorris Carn (PRESIDENT) |
| Authorized Official Contact | 5612488900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carn 360 Services Llc 6586 Hypoluxo Rd Ste 230 Lake Worth FL 33467-7678 Ph: (561) 248-8900 | Carn 360 Services Llc 1375 Gateway Blvd Ste 29 Boynton Beach FL 33426-8304 Ph: (561) 379-1440 |
| NPI Number | 1679125462 |
|---|---|
| Provider Enumeration Date | 07/11/2019 |
| Last Update Date | 09/21/2019 |
| Medicare PECOS PAC ID | 9234561085 |
|---|---|
| Medicare Enrollment ID | O20191115001076 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679125462 | NPI | - | NPPES |
| Provider Name | Terrence L Carn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699326546 PECOS PAC ID: 3476985227 Enrollment ID: I20191115001909 |
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