Boca Raton Psychiatry, Llc
Psychiatry Physician in Boca Raton, FL(View on Map)
Legal Business Name
Boca Raton Psychiatry, Llc
NPI Number
1275056616
NPI Type
Organization
Enumeration Date
07/18/2017
Specialties
(Taxonomies)Licenses
State
Florida
License Number
OS12896
Contact
Information
Purpose
Mailing
Location
Address
7887 BLUE SAGE WAY
9980 CENTRAL PARK BLVD N STE 210
City
Parkland
Boca Raton
State
FL
FL
Postal Code
33076-4450
33428-1703
Country
US
US
Telephone Number
N/A
(561) 342-8822
Authorized Official
Name
Dr. Richard Phelps
Title or Position
OWNER/PSYCHIATRIST
Telephone Number
(843) 870-2779
Identifiers
Identifier
1942490016
Identifier State
Unknown
Identifier Issuer
TYPE 1 NPI
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 09/03/2019
Provider Address
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