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Organization
NEURATEQ HEALTHCARE SYSTEM
Active
Organization
NEURATEQ HEALTHCARE SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MERCEDES DERICHO (OWNER)
(786) 389-9773
Entity
Organization
Contact information
Practice address
11 NOTTINGHAM PL, BOYNTON BEACH, FL 33426-8427
(786) 389-9773
Mailing address
1313 W BOYNTON BEACH BLVD # 1B346, BOYNTON BEACH, FL 33426-3436
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
02/06/2023
Last updated
02/10/2023
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