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NPI Code Detail

MEDICARE: CHE BEHAVIORAL HEALTH SERVICES OF FLORIDA, P.A.

MEDICARE: CHE BEHAVIORAL HEALTH SERVICES OF FLORIDA, 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
12084P0800XPsychiatry Physician
2363A00000XPhysician Assistant
3363LP0808XPsychiatric/Mental Health Nurse Practitioner
4103TC0700XClinical Psychologist
51041C0700XClinical Social Worker
6251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1932721206
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHE BEHAVIORAL HEALTH SERVICES OF FLORIDA, P.A.
Provider Business Mailing Address
First Line : PO BOX 67077
Second Line :
City : NEWARK
State : NJ
Zip : 07101-8083
Country : US
Telephone Number : 888-515-3834
Fax Number :
Provider Business Practice Location Address
First Line : 6750 N ANDREWS AVE STE 200
Second Line :
City : FT LAUDERDALE
State : FL
Zip : 33309-2180
Country : US
Telephone Number : 888-515-3834
Fax Number :
Authorized Official
Title or Position : MD
Name : DR. CHRISTOPHER DENNIS
Credential : MD
Telephone Number : 888-515-3834
Provider Enumeration Date : 05/10/2020
Last Update Date : 03/14/2024

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