The Clinic, Llc
Psychiatry Physician in Palm Beach Gardens, FL(View on Map)
Legal Business Name
The Clinic, Llc
NPI Number
1235452764
NPI Type
Organization
Enumeration Date
03/11/2010
Specialties
(Taxonomies)Licenses
State
Florida
License Number
ME101767
Contact
Information
Purpose
Mailing
Location
Address
319 SEPTEMBER ST
3370 BURNS RD
City
Palm Beach Gardens
Palm Beach Gardens
State
FL
FL
Postal Code
33410-1521
33410-4327
Country
US
US
Telephone Number
(561) 627-0772
(561) 627-0772
Authorized Official
Name
Dr. Javedul Haque
Title or Position
OWNER
Telephone Number
(561) 627-0772
Identifiers
Identifier
1453G
Identifier State
FL
Identifier Issuer
BCBS OF FL
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 03/11/2010
Provider Address
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