NPI 1558735290 · live from the CMS NPI Registry
Advantage Clinic LLC
Psychiatry & Neurology, Psychiatry in West Palm Beach, FL. National Provider Identifier 1558735290, active.
NPI record
| NPI | 1558735290 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Psychiatry 2084P0800X |
| Practice location | 901 Northpoint Pkwy, Suite 302, West Palm Beach, FL 33407 |
| Practice phone | 561-352-1587 |
| Enumerated | November 18, 2015 |
| Last updated | November 18, 2015 |
| Authorized official | Taylor Gaines, Chief Executive Officer |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice | 208D00000X | ME55707 (FL) |
| Psychiatry & Neurology, Psychiatry primary | 2084P0800X | ME55707 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.