MEDICARE: PALM BEACH PSYCHIATRIC AND ADDICTION CENTER, P.A.

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	ME0050472	FL

General Provider Information

NPI Number	:	1447275243
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PALM BEACH PSYCHIATRIC AND ADDICTION CENTER, P.A.

Provider Business Mailing Address
First Line	:	1115 45TH STREET
Second Line	:	SUITE 1
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407
Country	:	US
Telephone Number	:	561-863-4600
Fax Number	:	561-863-4646

Provider Business Practice Location Address
First Line	:	1115 45TH ST
Second Line	:	SUITE 1
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-2376
Country	:	US
Telephone Number	:	561-863-4600
Fax Number	:	561-863-4646

Authorized Official
Title or Position	:	OWNER/DIRECTOR
Name	:	WOMESH C SAHADEO
Credential	:	M.D.
Telephone Number	:	561-863-4600

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	08/22/2020

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