MEDICARE: PARTICLE THEORY INC

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	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1396347894
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PARTICLE THEORY INC

Provider Business Mailing Address
First Line	:	8000 N FEDERAL HWY STE 110
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33487-1681
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8000 N FEDERAL HWY STE 110
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33487-1681
Country	:	US
Telephone Number	:	561-945-9751
Fax Number	:

Authorized Official
Title or Position	:	CO-PRESIDENT
Name	:	CHRISTOPHER CASTRONOVA
Credential	:
Telephone Number	:	561-945-9751

Provider Enumeration Date	:	11/10/2020
Last Update Date	:	04/25/2024

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