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Contact Information

ADVANCED CHILDRENS THERAPY INC
2119 10TH AVE N
LAKE WORTH BEACH, FL33461-3345
 Phone: 561-629-6882
 Fax: 561-828-3102
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
 

Clinic/Center

261Q00000X
 

Developmental Disabilities

261QD1600X
 

Early Intervention Provider Agency

252Y00000X
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for ADVANCED CHILDRENS THERAPY INC

NPI # 1356998637
LBN Legal business name ADVANCED CHILDRENS THERAPY INC
Authorized official MARLYE GONZALEZ ALFONSO - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/21/2019
Last updated 02/26/2023 - About 3 years ago
Identifiers
FL Medicaid 025094700
FL Medicaid 105119800
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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