Healthcare Provider Details

I. General information

NPI: 1356587646
Provider Name (Legal Business Name): INSIGHT HEALTH NETWORK INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2008
Last Update Date: 12/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1727 BANKS RD
MARGATE FL
33063-7744
US

IV. Provider business mailing address

1727 BANKS RD
MARGATE FL
33063-7744
US

V. Phone/Fax

Practice location:
  • Phone: 954-366-2600
  • Fax: 954-366-2056
Mailing address:
  • Phone: 954-366-2600
  • Fax: 954-366-2056

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: MR. ALAN DURETZ
Title or Position: PRESIDENT
Credential:
Phone: 954-366-2600