MEDICARE: VERONICA TSAI M.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	IMH12800	FL

General Provider Information

NPI Number	:	1285028647
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VERONICA TSAI M.S.

Provider Business Mailing Address
First Line	:	291 MARLBERRY CIR
Second Line	:
City	:	JUPITER
State	:	FL
Zip	:	33458-2849
Country	:	US
Telephone Number	:	561-262-1369
Fax Number	:

Provider Business Practice Location Address
First Line	:	8800 SUNSET DR
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-6233
Country	:	US
Telephone Number	:	561-627-9701
Fax Number	:	561-627-3902

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2015
Last Update Date	:	03/24/2015

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