Healthcare Provider Details

I. General information

NPI: 1942622568
Provider Name (Legal Business Name): ADVANCED MENTAL HEALTH CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2014
Last Update Date: 12/22/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11903 SOUTHERN BLVD STE 104
ROYAL PALM BEACH FL
33411-7644
US

IV. Provider business mailing address

11903 SOUTHERN BLVD STE 104
ROYAL PALM BEACH FL
33411-7644
US

V. Phone/Fax

Practice location:
  • Phone: 561-333-8884
  • Fax: 561-333-2122
Mailing address:
  • Phone: 561-333-8884
  • Fax: 561-333-2122

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084F0202X
TaxonomyForensic Psychiatry Physician
License NumberME98849
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberME94833
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code2084S0012X
TaxonomySleep Medicine (Psychiatry & Neurology) Physician
License NumberME95309
License Number StateFL
# 4
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ARON TENDLER
Title or Position: DIRECTOR
Credential: MD
Phone: 561-333-8884