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General NPI Number Information
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NPI Number | 1316792062
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Entity Type | Organization
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Legal Business Name | FLORIDA MENTAL HEALTH SOLUTION INC
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Dates
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Enumeration Date | 04/17/2024
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Last Update Date | 04/17/2024
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Provider Practice Location Address
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Address Line | 23257 STATE ROAD 7 STE 204
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City | BOCA RATON
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State | FL
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Zip | 33428-5406
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Country | US
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Telephone | 954-336-4440
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Fax | 954-827-5706
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Provider Business Mailing Address
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Address Line | 23257 STATE ROAD 7 STE 204
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City | BOCA RATON
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State | FL
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Zip | 33428-5406
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Country | US
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Telephone | 954-336-4440
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Fax | 954-827-5706
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Authorized Official
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Title or Position | PRESIDENT
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Name | HENRI COIZEAU
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Credential | LMHC
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Telephone | 954-336-4440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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