Organization
SUPPORTIVE HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK GERHARDT (OWNER/PRESIDENT)
(561) 234-8881
Entity
Organization
Contact information
Practice address
14000 S MILITARY TRL, DELRAY BEACH, FL 33484-2610
(561) 307-1801
Mailing address
2337 VINTAGE DR, LIGHTHOUSE POINT, FL 33064-6089
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
2084P0800X
Psychiatry Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
10/02/2012
Last updated
11/20/2012
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