MEDICARE: PAUL ALLEVA MSW

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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1629551155
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL ALLEVA MSW

Provider Business Mailing Address
First Line	:	1200 S FEDERAL HWY STE 301
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33435-6059
Country	:	US
Telephone Number	:	561-628-6651
Fax Number	:

Provider Business Practice Location Address
First Line	:	1200 S FEDERAL HWY STE 301
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33435-6059
Country	:	US
Telephone Number	:	561-628-6651
Fax Number	:

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

Provider Enumeration Date	:	09/11/2018
Last Update Date	:	09/11/2018

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