Organization

Tay Gaines Llc

May also be knows as Tay Gaines Md

Adult Mental Health Clinic/Center in Riviera Beach, FL(View on Map)

Legal Business Name

Tay Gaines Llc

Also Known As

Tay Gaines Md

NPI Number

1295991107

NPI Type

Organization

Enumeration Date

07/30/2008

Specialties

(Taxonomies)

Code

261QM0850X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

ME55707

Contact
Information

Purpose

Mailing
Location

Address

4152 BLUE HERON BLVD W
4152 BLUE HERON BLVD W

City

Riviera Beach
Riviera Beach

State

FL
FL

Postal Code

33404-4811
33404-4811

Country

US
US

Telephone Number

(561) 844-7699
(561) 844-7699

Authorized Official

Name

Dr. Tay Gaines

Title or Position

PRESIDENT/MEMBER

Telephone Number

(561) 844-7699

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/02/2008

Provider Address

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